Individual provider Active NPI

Paul York Cunningham III, M.D.

  • Interventional Cardiology Physician
  • Shenandoah, TX
National Provider Identifier
1356582886
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
M2299 Issued in TX
Practice address
17183 I 45 S Ste 640
Shenandoah, TX 77385-3316
Phone
(936) 270-3933
NPI assigned
Mar 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M2299 TX
Cardiovascular Disease Physician 207RC0000X M2299 TX
Interventional Cardiology Physician 207RI0011X M2299 TX Primary

Addresses

Primary practice location

17183 I 45 S Ste 640
Shenandoah, TX 77385-3316

Mailing address

17183 I 45 S Ste 640
Shenandoah, TX 77385-3316
Phone (936) 270-3933

Other practice location 1

100 Medical Center Blvd
Suite 200
Conroe, TX 77304-2888
Phone (936) 441-9680

Other practice location 2

100 Medical Center Blvd
Suite 200
Conroe, TX 77304
Phone (936) 441-9680

Other practice location 3

100 Medical Center Blvd
Suite 200
Conroe, TX 77304
Phone (936) 441-9680

Other identifiers 1

IdentifierTypeStateIssuer
217320503MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100920000647 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 2466577036 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Baylor College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

16605 Southwest Fwy
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 Southwest Fwy 400 Mob3
Methodist Family Medicine Group
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 SW Fwy 410
Methodist Diag Card of Houston
Sugar Land, TX 77479-3500
Phone (281) 274-0148

17183 I 45 S
550 Houston Methodist Primary Care Group
The Woodlands, TX 77385-3314
Phone (936) 270-3849

17183 Interstate 45 S
Shenandoah, TX 77385-3314
Phone (936) 270-3662

17189 I 45 S
Shenandoah, TX 77385-3320
Phone (936) 270-3662

4015 I 45
Suite 120
Conroe, TX 77304-5076
Phone (346) 356-3044

4015 I 45 N
Conroe, TX 77304-5076
Phone (936) 270-4600

4015 Ih 45
Suite 110
Conroe, TX 77304-5076
Phone (202) 507-0700

4710 Bellaire Blvd
Bellaire, TX 77401-4505
Phone (713) 363-9411

6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150

Hospital & facility affiliations

  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting43
Pacemaker insertion or repair1-10
Varicose vein removal25
Leg revascularization (restoring blood flow)16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC Internal Medicine CurrentSince May 1, 2017 Accepting new patients
Houston Methodist Specialty Physicians CurrentSince Mar 1, 2026 Accepting new patients
TMH Physician Associates PLLC CurrentSince May 1, 2017 Accepting new patients

Locations

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

17189 Interstate 45 S
Ste 475
Shenandoah, TX 77385
Phone (936) 270-2000

17183 Interstate 45 S
Ste 640
Shenandoah, TX 77385
Phone (936) 270-3880

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: pcunningham112394@directhoustonmethodist.org
  • Direct secure messaging: admin@healinghearts.e-mdsdirect.com
  • Direct secure messaging: paul-cunningham@healinghearts.e-mdsdirect.com

Organizations & group practices 4

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 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": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1356582886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17183 I 45 S STE 640",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853316",
            "telephone_number": "936-270-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17183 I 45 S STE 640",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853316",
            "telephone_number": "936-270-3933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Medical Center Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042888",
            "country_code": "US",
            "telephone_number": "936-441-9680",
            "fax_number": "936-539-9685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Medical Center Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "77304",
            "country_code": "US",
            "telephone_number": "936-441-9680",
            "fax_number": "936-539-9685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Medical Center Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "77304",
            "country_code": "US",
            "telephone_number": "936-441-9680",
            "fax_number": "936-539-9685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "PAUL",
        "middle_name": "YORK",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-12",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2299",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M2299",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "M2299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217320503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.