Organization Active NPI

F Kelly Cunningham MD, PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • West Lake Hills, TX
National Provider Identifier
1275912776
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
F KELLY CUNNINGHAM MD, PA
Practice address
5300 Bee Caves Rd Ste 260
West Lake Hills, TX 78746-5226
Phone
(512) 410-0767
Fax
(512) 649-7402
NPI assigned
May 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
F Kelly Cunningham, MD
Title
MD/Owner
Phone
(512) 750-3083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

5300 Bee Caves Rd Ste 260
West Lake Hills, TX 78746-5226

Mailing address

5300 Bee Caves Rd Ste 260
West Lake Hills, TX 78746-5226
Phone (512) 410-0767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150811003313 TX Part B Supplier - Clinic/Group Practice 6507171246 Receives reassigned benefits from 3 practitioners
Practice locations: West Lake Hills, TX
O20160114001287 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 6507171246 Practice locations: West Lake Hills, TX

National Provider Directory

National Provider Directory

Locations

5300 Bee Caves Rd
Ste I260
West Lake Hills, TX 78746

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1275912776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 BEE CAVES RD STE 260",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465226",
            "telephone_number": "512-410-0767",
            "fax_number": "512-649-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 BEE CAVES RD STE 260",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465226",
            "telephone_number": "512-410-0767",
            "fax_number": "512-649-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F KELLY CUNNINGHAM MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "F",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "512-750-3083",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.