Individual provider Active NPI

Michael F. Cunningham, M.D.

  • Urology Physician
  • Worthington, OH
National Provider Identifier
1366515405
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35067236 Issued in OH
Practice address
350 W Wilson Bridge Rd
Worthington, OH 43085-2217
Phone
(614) 796-2900
Fax
(614) 796-2901
NPI assigned
Nov 16, 2006
Last updated
Feb 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35067236 OH Primary

Addresses

Primary practice location

350 W Wilson Bridge Rd
Worthington, OH 43085-2217

Mailing address

701 Tech Center Dr Ste 250
Gahanna, OH 43230-1987
Phone (614) 944-4800

Other practice location 1

701 Tech Center Dr Ste 100
Gahanna, OH 43230-1987
Phone (614) 396-2684

Other practice location 2

701 Tech Center Dr Ste 200
Gahanna, OH 43230-1987
Phone (614) 396-2684

Other practice location 3

620A Morrison Rd
Gahanna, OH 43230-5327
Phone (614) 396-2684

Other identifiers 2

IdentifierTypeStateIssuer
0446576OtherOHRAILROAD MEDICARE
0707397MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040915001249 OH Practitioner - Urology 0840267084 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Ohio State University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Urology Group, LLC.Group PAC ID 5395758882, 48 clinicians
Hocking Valley Medical Group, Inc.Group PAC ID 0345238622, 21 clinicians

Practice addresses (Care Compare)

4101 Emerald Pkwy
Suite 260
Dublin, OH 43016-3323
Phone (614) 396-2684

601 State Route 664 N
Logan, OH 43138-8541
Phone (740) 380-8129

618 Pleasantville Rd
Suite 303
Lancaster, OH 43130-3373
Phone (740) 689-6833

701 Tech Ctr Dr
Gahanna, OH 43230-1987
Phone (614) 396-2684

8200 Hazelton-Etna Rd
Suite 200
Pastaskala, OH 43062
Phone (800) 720-0505

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35067236OHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Urology Group, LLC Urology CurrentSince Jan 1, 2008 Accepting new patients
Hocking Valley Community Hospital Current Accepting new patients
Central Ohio Urology Group, LLC Urology CurrentSince Jan 1, 2008 Accepting new patients
Hocking Valley Medical Group Transportation CurrentSince Oct 7, 2018 Accepting new patients
Alliance Physicians Inc Current Accepting new patients
Fairfield Healthcare Professionals Inc CurrentSince Mar 19, 2022 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Dec 29, 2022 Accepting new patients
Fairfield Healthcare Professionals, Inc. CurrentSince Mar 19, 2022 Accepting new patients
Hocking Valley Medical Group, Inc. CurrentSince Oct 7, 2018 Accepting new patients
Ohio Urology, Inc. Urology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Central Ohio Urology Surgery Center, LLC Past Accepting new patients

Locations

941 Chatham Ln
Ste 110
Columbus, OH 43221
Phone (614) 459-7600

5040 Bradenton Ave
Ste B
Dublin, OH 43017

8200 Hazelton Etna Rd SW
Etna, OH 43062
Phone (614) 221-5189

620 Morrison Rd
#A
Gahanna, OH 43230

701 Tech Center Dr
Gahanna, OH 43230
Phone (614) 944-4806

701 Tech Center Dr
Ste 100
Gahanna, OH 43230
Phone (440) 724-4498

701 Tech Center Dr
Ste 200
Gahanna, OH 43230
Phone (614) 396-2670

701 Tech Center Dr
Ste 250
Gahanna, OH 43230

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

618 Pleasantville Rd
Ste 203
Lancaster, OH 43130
Phone (740) 687-8000

618 Pleasantville Rd
Ste 303
Lancaster, OH 43130
Phone (740) 689-6833

601 State Route 664 N
Logan, OH 43138
Phone (740) 380-8000

819 State Route 664 N
Logan, OH 43138
Phone (740) 380-8140

4000 Miamisburg Centerville Rd
Ste 450
Miamisburg, OH 45342
Phone (937) 439-3600

350 W Wilson Bridge Rd
Worthington, OH 43085
Phone (614) 796-2900

350 W Wilson Bridge Rd
Ste 100
Worthington, OH 43085
Phone (614) 268-2323

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mcunningham168457@direct.ketteringhealth.org
  • Direct secure messaging: mcunningham486476@direct.osumc.edu

Organizations & group practices 12

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 7

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1366515405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECH CENTER DR STE 250",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301987",
            "telephone_number": "614-944-4800",
            "fax_number": "614-944-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W WILSON BRIDGE RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852217",
            "telephone_number": "614-796-2900",
            "fax_number": "614-796-2901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Tech Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432301987",
            "country_code": "US",
            "telephone_number": "614-396-2684",
            "fax_number": "614-396-2480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Tech Center Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432301987",
            "country_code": "US",
            "telephone_number": "614-396-2684",
            "fax_number": "614-396-2480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620A Morrison Rd",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432305327",
            "country_code": "US",
            "telephone_number": "614-396-2684",
            "fax_number": "614-396-2480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "MICHAEL",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35067236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "0446576",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0707397",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.