Charles Alvin Cunningham, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD-47144 Issued in IA

Practice address

1610 W Townline St
Creston, IA 50801-1066

Phone

(641) 782-3887

Fax

(641) 782-6425

NPI assigned

May 1, 2007

Last updated

Aug 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, IA2 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 2

Specialty

Obstetrics/Gynecology

Education

University of Oklahoma College of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Regional Medical CenterGroup PAC ID 9234041013, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Greater Regional Medical Center Hospital, Creston, IA, CCN 161365

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ccunningha@yourcarecommunity.org
• Direct secure messaging: ccunningham763391@direct.unitypoint.org

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.

• Greater Regional Medical Center

  • Critical Access Hospital
  • Creston, IA
  • NPI 1902805062
  Medicare reassignment Care Compare group NPD
• State University of Iowa

  dba University of Iowa Health Care

  • Family Medicine Physician
  • Iowa City, IA
  • NPI 1477554814
  Medicare reassignment NPD
• Obhg Oklahoma, P.C.

  • Obstetrics & Gynecology Physician
  • Tulsa, OK
  • NPI 1043595374
  Medicare reassignment NPD
• Greater Regional Medical Center

  • Rural Health Clinic/Center
  • Greenfield, IA
  • NPI 1194406223
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

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

• Greater Regional Medical Center

  • Critical Access Hospital
  • Creston, IA
  • NPI 1902805062
  Care Compare affiliation

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1306067384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W TOWNLINE ST",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011054",
            "telephone_number": "641-782-7091",
            "fax_number": "641-782-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 W TOWNLINE ST",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011066",
            "telephone_number": "641-782-3887",
            "fax_number": "641-782-6425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 E 41st St",
            "address_2": "Room 2H08",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741352536",
            "country_code": "US",
            "telephone_number": "918-660-8359",
            "fax_number": "918-660-8355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2221 Elm St",
            "address_purpose": "LOCATION",
            "city": "Rawlins",
            "state": "WY",
            "postal_code": "823015108",
            "country_code": "US",
            "telephone_number": "307-324-9098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Market St",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452633",
            "country_code": "US",
            "telephone_number": "319-356-2294",
            "fax_number": "319-339-3787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "CHARLES",
        "middle_name": "ALVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WY",
            "license": "10905A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "25200",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "MD-47144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Creston, IA
• Providers in Creston, IA by specialty
• Obstetrics & Gynecology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.