Active NPI
Pamela Shenouda Cunningham, MD
- Pain Medicine (Anesthesiology) Physician
- Odessa, TX
National Provider Identifier
1417948209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- M0387
- Practice address
- 600 N Grant Ave
Odessa, TX 79761-4503 - Phone
- (432) 331-1234
- Fax
- (432) 331-1265
- NPI assigned
- Nov 2, 2005
- Last updated
- May 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | M0387 | TX | Primary |
Addresses
Primary practice location
600 N Grant Ave
Odessa, TX 79761-4503
Mailing address
PO Box 1808
Odessa, TX 79760-1808
Phone (432) 331-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174108401 | Medicaid | TX |
Other names 1
- Pamela Emad Shenouda
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 13, 2016 through Jan 13, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Family Care I, Inc | Past | Accepting new patients | |
| Benjamin J. Cunningham, M.D., P.a. | Past | Accepting new patients | |
| Cambridge Public Health Commission | Past | Accepting new patients | |
| Pamela S. Cunningham, M.D., P.a. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Interventional Pain Medicine Physician
- Odessa, TX
- NPI 1922297670
-
- Orthopaedic Surgery Physician
- Odessa, TX
- NPI 1447449103
-
dba Premier Physicians
- General Practice Physician
- Midland, TX
- NPI 1275522864
-
dba Cambridge Health Alliance
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305504000000",
"number": "1417948209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1808",
"city": "ODESSA",
"state": "TX",
"postal_code": "797601808",
"telephone_number": "432-331-1234",
"fax_number": "432-331-1265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N GRANT AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614503",
"telephone_number": "432-331-1234",
"fax_number": "432-331-1265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "PAMELA",
"middle_name": "SHENOUDA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2011-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "M0387",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "174108401",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "SHENOUDA",
"middle_name": "EMAD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.