Active NPI
James A. Cunningham, MD
- Gastroenterology Physician
- Wauwatosa, WI
National Provider Identifier
1225005689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 23009
- Practice address
- 1033 N Mayfair Rd
Suite 101
Wauwatosa, WI 53226-3442 - Phone
- (414) 908-6615
- Fax
- (414) 454-0419
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 23009 | WI | Primary |
Addresses
Primary practice location
1033 N Mayfair Rd
Suite 101
Wauwatosa, WI 53226-3442
Mailing address
3033 S 27TH St
Suite 202
Milwaukee, WI 53215-3600
Phone (414) 908-6615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30477000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin Health Fund | Current | Accepting new patients | |
| Mayfair Digestive Health Center, LLC | Past | Accepting new patients |
Locations
6200 W Bluemound Rd
Milwaukee, WI 53213
Phone (414) 479-3668
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1497768659
-
- Ambulatory Surgical Clinic/Center
- Wauwatosa, WI
- NPI 1013984657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368403200000",
"number": "1225005689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 S 27TH ST",
"address_2": "SUITE 202",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532153600",
"telephone_number": "414-908-6615",
"fax_number": "414-385-2980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 N MAYFAIR RD",
"address_2": "SUITE 101",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532263442",
"telephone_number": "414-908-6615",
"fax_number": "414-454-0419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "JAMES",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2013-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WI",
"license": "23009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30477000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.