Individual provider Active NPI

Donald G Cunningham, D.O.

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1508855719
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0732 Issued in AZ
Practice address
15425 N Greenway Hayden Loop Ste A300
Scottsdale, AZ 85260-1204
Phone
(480) 607-1124
Fax
(480) 607-1087
NPI assigned
Oct 19, 2005
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0732 AZ Primary

Addresses

Primary practice location

15425 N Greenway Hayden Loop Ste A300
Scottsdale, AZ 85260-1204

Mailing address

15425 N Greenway Hayden Loop Ste A300
Scottsdale, AZ 85260-1204
Phone (480) 607-1124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100308000790 AZ Practitioner - General Practice 0345296943 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ; Scottsdale, AZ

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pueblo Family Physicians LTDGroup PAC ID 2062497936, 8 clinicians

Practice addresses (Care Compare)

15425 N Greenway Hayden Loop
Suite A300
Scottsdale, AZ 85260-1204
Phone (480) 607-1124

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0732AZMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Family Physicians LTD Family Medicine CurrentSince Dec 2, 1970 Accepting new patients
Pueblo Family Physicians LTD Family Medicine Current Accepting new patients
Footcare Center - Dr. Mark Gorman, PC Past Accepting new patients

Locations

4350 N 19th Ave
Ste 6
Phoenix, AZ 85015
Phone (480) 607-1124

15425 N Greenway Hayden Loop
Ste A300
Scottsdale, AZ 85260
Phone (480) 607-1124

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, 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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1508855719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15425 N GREENWAY HAYDEN LOOP STE A300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601204",
            "telephone_number": "480-607-1124",
            "fax_number": "480-607-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15425 N GREENWAY HAYDEN LOOP STE A300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601204",
            "telephone_number": "480-607-1124",
            "fax_number": "480-607-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "DONALD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "0732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.