Individual provider Active NPI

Michael A Cunningham, D.O.

  • Emergency Medicine Physician
  • Auburn, NY
National Provider Identifier
1295754612
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
193082 Issued in NY
Practice address
17 Lansing St
Auburn, NY 13021-1983
Phone
(315) 567-0437
Fax
(315) 567-0437
NPI assigned
Jul 18, 2006
Last updated
Mar 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 193082 NY Primary

Addresses

Primary practice location

17 Lansing St
Auburn, NY 13021-1983

Mailing address

8 Wickersham LN
Pittsford, NY 14534-4166
Phone (585) 802-3466

Other practice location 1

2 Coulter Road
Clifton Springs, NY 14432-1127
Phone (315) 462-0106

Other practice location 2

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4528

Other practice location 3

1200 Driving Park Ave
Newark, NY 14513-1090
Phone (585) 922-3536

Other identifiers 2

IdentifierTypeStateIssuer
000912131003OtherNYBCBS
01831369MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040527001217 NY Practitioner - Emergency Medicine 2466433156 Reassigns benefits to 6 organizations
Practice locations: Clifton Springs, NY

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn Memorial Medical Services PCGroup PAC ID 6406931385, 121 clinicians

Practice addresses (Care Compare)

17 Lansing St
Suite 201
Auburn, NY 13021-1983
Phone (315) 252-8838

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75.68 of 100Reported as group
Quality
48.88
Promoting interoperability
91
Improvement activities
40
Cost
71.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
193082NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Memorial Medical Services, PC CurrentSince Jul 1, 2023 Accepting new patients
Rochester General Hospital CurrentSince Jul 1, 2012 Accepting new patients
Newark Wayne Community Hospital CurrentSince Oct 1, 1999 Accepting new patients
Rochester General Hospital CurrentSince Jul 1, 2012 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Nov 24, 2011 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Jul 1, 2023 Accepting new patients
Newark Wayne Community Hospital Current Accepting new patients
Delphi Healthcare PLLC Emergency Medicine Past Accepting new patients
Internal Medicine at Lakeside Past Accepting new patients
Delphi Emergency Physician Services Past Accepting new patients

Locations

17 Lansing St
Ste 201
Auburn, NY 13021
Phone (315) 252-7434

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

196 North St
Geneva, NY 14456
Phone (315) 787-4000

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2170

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

224 Alexander St
Ofc
Rochester, NY 14607
Phone (716) 922-6000

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

Organizations & group practices 11

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.

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1295754612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WICKERSHAM LN",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344166",
            "telephone_number": "585-802-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LANSING ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983",
            "telephone_number": "315-567-0437",
            "fax_number": "315-567-0437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Coulter Road",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321127",
            "country_code": "US",
            "telephone_number": "315-462-0106",
            "fax_number": "315-462-2504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213001",
            "country_code": "US",
            "telephone_number": "585-922-4528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Driving Park Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145131090",
            "country_code": "US",
            "telephone_number": "585-922-3536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "193082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000912131003",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01831369",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.