Individual provider Active NPI

Cynthia M. Niendorff, MD

  • Anesthesiology Physician
  • Cleveland, TN
National Provider Identifier
1154374049
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
49391 Issued in TN
Practice address
102 Dunhill PL NW
Cleveland, TN 37311
Phone
(423) 339-9581
Fax
(423) 472-0454
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4942 WI
Pain Medicine (Anesthesiology) Physician 207LP2900X 49391 TN
Anesthesiology Physician 207L00000X 49391 TN Primary

Addresses

Primary practice location

102 Dunhill PL NW
Cleveland, TN 37311

Mailing address

102 Dunhill PL NW
Cleveland, TN 37311-3885
Phone (423) 339-9581

Other practice location 1

102 Dunhill Pl NW
Cleveland, TN 37311
Phone (423) 339-9581

Other practice location 2

1400 Bellinger Street
Eau Claire, WI 54703-5222
Phone (715) 838-5222

Other identifiers 1

IdentifierTypeStateIssuer
1530651MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, PA, WI, AL4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20130122000539 TN Practitioner - AnesthesiologyPractitioner - Pain Management 1951388123 Reassigns benefits to 2 organizations
I20241031002381 PA Practitioner - Anesthesiology 1951388123 Reassigns benefits to 1 organization
I20250121000356 WI Practitioner - Anesthesiology 1951388123 Reassigns benefits to 1 organization
I20260114000006 AL Practitioner - Anesthesiology 1951388123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Anesthesiology of Tennessee PCGroup PAC ID 9931001922, 296 clinicians
Mayo Clinic Health System-Northwest Wisconsin Region IncGroup PAC ID 4385553627, 797 clinicians
Novus Pennsylvania Professional CorporationGroup PAC ID 6800259631, 18 clinicians

Practice addresses (Care Compare)

10820 Parkside Dr
Suite 208
Knoxville, TN 37934-1956
Phone (865) 546-8040

1400 Bellinger St
Eau Claire, WI 54703-5222
Phone (715) 838-5222

600 Somerset Ave
Windber, PA 15963-1331
Phone (814) 467-3000

Hospital & facility affiliations

  • Mayo Clinic Health System Eau Claire Hospital Hospital, Eau Claire, WI, CCN 520070
  • Parkridge Medical Center Hospital, Chattanooga, TN, CCN 440156
  • Chan Soon- Shiong Medical Center at Windber Hospital, Windber, PA, CCN 390112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Novus Pennsylvania Professional Corporation Anesthesiology CurrentSince Nov 1, 2024 Accepting new patients
American Anesthesiology of Tennessee, P.C. Anesthesiology CurrentSince Sep 1, 2019 Accepting new patients
Flowers HB Medical Services LLC Anesthesiology CurrentSince Feb 18, 2026 Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince Jan 6, 2025 Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince Jan 6, 2025 Accepting new patients
East Tennessee Neuropathy, PC CurrentSince Apr 1, 2013 Accepting new patients
Covenant Anesthesia Group, PC Anesthesiology CurrentSince Jul 1, 2020 Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Current Accepting new patients
Windber Hospital, Inc. Anesthesiology Past Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1421 Fishburn Rd
Hershey, PA 17033
Phone (717) 533-2224

600 Somerset Ave
Windber, PA 15963
Phone (814) 467-3000

818 Sunset Dr
Ste 103
Johnson City, TN 37604
Phone (423) 794-3142

Dept 888089
Knoxville, TN 37995

10820 Parkside Dr
Ste 208
Knoxville, TN 37934
Phone (865) 545-7246

501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000

733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806

1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1154374049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 DUNHILL PL NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113885",
            "telephone_number": "423-339-9581",
            "fax_number": "423-472-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 DUNHILL PL NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37311",
            "telephone_number": "423-339-9581",
            "fax_number": "423-472-0454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Dunhill Pl NW",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "37311",
            "country_code": "US",
            "telephone_number": "423-339-9581",
            "fax_number": "423-472-0454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Bellinger Street",
            "address_purpose": "LOCATION",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035222",
            "country_code": "US",
            "telephone_number": "715-838-5222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIENDORFF",
        "first_name": "CYNTHIA",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "4942",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TN",
            "license": "49391",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "49391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530651",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.