Fred Kelly Cunningham, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

G4944 Issued in TX

Practice address

5300 Bee Cave Road BLDG I
Ste 260
Austin, TX 78746-5226

Phone

(512) 410-0767

Fax

(512) 649-7402

NPI assigned

Jan 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Orthopedic SurgeryAlso: Sports Medicine

Education

University of Texas Southwestern Medical School at Dallas, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• F Kelly Cunningham MD, PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • West Lake Hills, TX
  • NPI 1275912776
  Medicare reassignment NPD
• F Kelly Cunningham MD, PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • West Lake Hills, TX
  • NPI 1538525928
  NPD

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1528038312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 BEE CAVES RD STE 260",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465226",
            "telephone_number": "512-410-0767",
            "fax_number": "512-649-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 BEE CAVE ROAD BLDG I",
            "address_2": "STE 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465226",
            "telephone_number": "512-410-0767",
            "fax_number": "512-649-7402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3003 Bee Caves Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787465550",
            "country_code": "US",
            "telephone_number": "512-410-0767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 W 38th St",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051188",
            "country_code": "US",
            "telephone_number": "512-410-0767",
            "fax_number": "512-649-7402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "FRED",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "G4944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUPPLIER NUMBER",
            "identifier": "1278600001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131598805",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Cunliffe
• Allison Cunning
• Cunningham Medical Supplies, LLC
• Barry D Cunningham, DDS
• Derek N. Cunningham, O.D.
• Mary V Cunningham, PH.D.
• Morgan Cunningham
• Sidney Kirk Cunningham, DDS
• Wendy Alicia Cunningham, LCSW-S
• Samantha Cuomo

• Sports Medicine (Orthopaedic Surgery) Physician in Austin, TX
• Providers in Austin, TX by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.