Individual provider Active NPI

Beth Erin Cunningham, M.D.

  • Ophthalmology Physician
  • Annapolis, MD
National Provider Identifier
1497752596
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0062732 Issued in MD
Practice address
107 Ridgely Ave 10
Annapolis, MD 21401-1417
Phone
(410) 268-6464
NPI assigned
Jul 5, 2005
Last updated
Feb 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0062732 MD
Ophthalmology Physician 207W00000X D0062732 MD Primary

Addresses

Primary practice location

107 Ridgely Ave 10
Annapolis, MD 21401-1417

Mailing address

107 Ridgely Ave 10
Annapolis, MD 21401-1417
Phone (410) 268-6464

Other identifiers 1

IdentifierTypeStateIssuer
388719ZRVCOtherMDMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20050628000355 MD Practitioner - Ophthalmology 8921043175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

107 Ridgely Ave
Suite 10
Annapolis, MD 21401-1417
Phone (410) 268-6464

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0062732MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Cunningham, M.D., P.C. Ophthalmology CurrentSince Oct 1, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

107 Ridgely Ave
Ste 10
Annapolis, MD 21401
Phone (410) 268-6464

Interoperability endpoints

  • Direct secure messaging: beth.cunningham@1102.chartlogic.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1497752596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 RIDGELY AVE 10",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011417",
            "telephone_number": "410-268-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 RIDGELY AVE 10",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011417",
            "telephone_number": "410-268-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "BETH",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0062732",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0062732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "388719ZRVC",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.