NPIMap

Individual provider Active NPI

Richard Burns Cunningham Jr., MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Somerset, KY
National Provider Identifier
1205812948
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
34264 Issued in KY
Practice address
353 Bogle St
Somerset, KY 42503
Phone
(606) 678-2220
Fax
(606) 451-0595
NPI assigned
Dec 15, 2005
Last updated
Jun 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 34264 TN
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 34264 KY Primary

Addresses

Primary practice location

353 Bogle St
Somerset, KY 42503

Mailing address

PO Box 32569
Knoxville, TN 37930-2569
Phone (865) 694-0062

Other practice location 1

9430 Park West Blvd
Suite 130
Knoxville, TN 37923-4200
Phone (865) 690-4861

Other practice location 2

9430 Park West Blvd
Suite 130
Knoxville, TN 37923-4200
Phone (865) 690-4861

Other identifiers 1

IdentifierTypeStateIssuer
3851816MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200219000286 MS Practitioner - Orthopedic Surgery 9830271865 Reassigns benefits to 1 organization
I20211007003547 WI Practitioner - Orthopedic Surgery 9830271865 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians
Magnolia Professional BillingGroup PAC ID 2860760279, 6 clinicians

Practice addresses (Care Compare)

2251 N Shore Dr
Suite 100
Rhinelander, WI 54501-6710
Phone (715) 361-2000

611 Alcorn Dr
Suite 210
Corinth, MS 38834-9323
Phone (662) 293-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34264TNMDPharmacist
34264KYMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Sep 25, 2023 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Magnolia Professional Billing CurrentSince Jan 1, 2020 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc CurrentSince Sep 25, 2023 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Aspirus Medical Group, Inc. Sports Medicine CurrentSince Sep 25, 2023 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Sep 25, 2023 Accepting new patients
Magnolia General and Vascular Surgery Clinic CurrentSince Jan 1, 2020 Accepting new patients
Magnolia Women's Center Past Accepting new patients
Khawaja M. Rahman, M.D., Professional Association PastSince Jul 1, 2022 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

401 Alcorn Dr
Ste 2C
Corinth, MS 38834
Phone (662) 286-9255

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

611 Alcorn Dr
Ste 210
Corinth, MS 38834
Phone (662) 284-9910

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

Interoperability endpoints

  • Direct secure messaging: rcunningham203089@direct.aspirus.org
  • Direct secure messaging: richardcunningham@magnolia.medalliesdirect.net

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1205812948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32569",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379302569",
            "telephone_number": "865-694-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 BOGLE ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42503",
            "telephone_number": "606-678-2220",
            "fax_number": "606-451-0595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9430 Park West Blvd",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234200",
            "country_code": "US",
            "telephone_number": "865-690-4861",
            "fax_number": "865-560-8525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9430 Park West Blvd",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234200",
            "country_code": "US",
            "telephone_number": "865-690-4861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "RICHARD",
        "middle_name": "BURNS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TN",
            "license": "34264",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "KY",
            "license": "34264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3851816",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.