NPIMap

Individual provider Active NPI

Donald Cundiff Jr., M.D.

  • Obesity Medicine (Internal Medicine) Physician
  • Sandusky, OH
National Provider Identifier
1376580050
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
License
35.055630 Issued in OH
Practice address
1221 Hayes Ave Ste B
Sandusky, OH 44870-3345
Phone
(419) 557-6990
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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 35-05-5630-C OH
Obesity Medicine (Internal Medicine) Physician 207RB0002X 253754 MA
Obesity Medicine (Internal Medicine) Physician 207RB0002X 35.055630 OH Primary

Addresses

Primary practice location

1221 Hayes Ave Ste B
Sandusky, OH 44870-3345

Mailing address

1912 Hayes Ave Ste 1E
Sandusky, OH 44870-4736
Phone (419) 557-5541

Other identifiers 1

IdentifierTypeStateIssuer
0779840MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100616000575 OH Practitioner - Internal Medicine 4688704760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians

Practice addresses (Care Compare)

1221 Hayes Ave
Suite F
Sandusky, OH 44870-3345
Phone (419) 557-6990

Hospital & facility affiliations

  • Firelands Regional Medical Center Hospital, Sandusky, OH, CCN 360025
  • Bellevue Hospital Hospital, Bellevue, OH, CCN 360107

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
North Coast Professional Company, LLC CurrentSince Oct 1, 2019 Accepting new patients
Firelands Regional Medical Center Past Accepting new patients

Locations

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

1221 Hayes Ave
Ste B
Sandusky, OH 44870
Phone (419) 557-6550

1221 Hayes Ave
Ste F
Sandusky, OH 44870
Phone (419) 557-6550

1031 Pierce St
Ste D
Sandusky, OH 44870

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

1912 Hayes Ave
Ste 1E
Sandusky, OH 44870
Phone (419) 557-5541

Interoperability endpoints

  • Direct secure messaging: donald.cundiff@fpg.medicity.net

Organizations & group practices 3

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 6

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1376580050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 HAYES AVE STE 1E",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704736",
            "telephone_number": "419-557-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 HAYES AVE STE B",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703345",
            "telephone_number": "419-557-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNDIFF",
        "first_name": "DONALD",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-05-5630-C",
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "MA",
            "license": "253754",
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "OH",
            "license": "35.055630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0779840",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.