Individual provider Active NPI

Matthew Alexander Cunningham, MD

  • Ophthalmology Physician
  • Orlando, FL
National Provider Identifier
1336303247
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME114768 Issued in FL
Practice address
95 Columbia St
Orlando, FL 32806-1101
Phone
(407) 849-9621
Fax
(407) 420-4056
NPI assigned
Jul 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X ME114768 FL
Ophthalmology Physician 207W00000X ME114768 FL Primary

Addresses

Primary practice location

95 Columbia St
Orlando, FL 32806-1101

Mailing address

8786 Perimeter Park Blvd
Jacksonville, FL 32216-6347
Phone (904) 997-9202

Other practice location 1

4880 N Highway 19A Ste 100
Mount Dora, FL 32757-2018
Phone (352) 357-1203

Other practice location 2

2270 E Highway 50
Clermont, FL 34711-6052
Phone (352) 343-0716

Other practice location 3

790 South Highway 27 / 441
Lady Lake, FL 32159-4540
Phone (352) 259-9944

Other practice location 4

1025 Primera Blvd
Lake Mary, FL 32746-2175
Phone (407) 333-1570

Other identifiers 1

IdentifierTypeStateIssuer
008887700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcunningham@floridaretinainstitute.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130521000592 FL Practitioner - Ophthalmology 1254519614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Florida College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Vitreous ConsultantsGroup PAC ID 4082610019, 43 clinicians

Practice addresses (Care Compare)

95 Columbia St
Orlando, FL 32806-1101
Phone (407) 849-9621

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME114768FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Vitreous Consultants Ophthalmology CurrentSince Oct 1, 2023 Accepting new patients

Locations

950 Glades Rd
Ste 1C
Boca Raton, FL 33431
Phone (305) 294-5504

2270 E Highway 50
Clermont, FL 34711
Phone (352) 243-0716

2639 Oak St
Jacksonville, FL 32204
Phone (904) 387-5600

8786 Perimeter Park Blvd
Jacksonville, FL 32216
Phone (904) 997-9202

1025 Primera Blvd
Lake Mary, FL 32746
Phone (407) 333-1570

4880 N Highway 19A
Ste 100
Mount Dora, FL 32757
Phone (352) 357-1203

424 Treemonte Dr
Orange City, FL 32763
Phone (386) 775-9909

95 Columbia St
Orlando, FL 32806
Phone (407) 849-9621

50 Leanni Way
Unit E5
Palm Coast, FL 32137
Phone (386) 447-1847

1370 E Venice Ave
Ste 201
Venice, FL 34285
Phone (941) 480-0500

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mcunningham@floridaretinainstitute.intellechartdirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1336303247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8786 PERIMETER PARK BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166347",
            "telephone_number": "904-997-9202",
            "fax_number": "904-996-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 COLUMBIA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061101",
            "telephone_number": "407-849-9621",
            "fax_number": "407-420-4056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4880 N Highway 19A Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mount Dora",
            "state": "FL",
            "postal_code": "327572018",
            "country_code": "US",
            "telephone_number": "352-357-1203",
            "fax_number": "352-357-1459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2270 E Highway 50",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347116052",
            "country_code": "US",
            "telephone_number": "352-343-0716",
            "fax_number": "352-243-0717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 South Highway 27 / 441",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321594540",
            "country_code": "US",
            "telephone_number": "352-259-9944",
            "fax_number": "352-259-9926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Primera Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327462175",
            "country_code": "US",
            "telephone_number": "407-333-1570",
            "fax_number": "407-333-1381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "MATTHEW",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME114768",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME114768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008887700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcunningham@floridaretinainstitute.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "95 Columbia St",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328061101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.