Active NPI
Michael Cunningham, M.D.
- Dermatology Physician
- Worcester, MA
National Provider Identifier
1558749606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 278434
- Practice address
- 281 Lincoln St
Worcester, MA 01605-2138 - Phone
- (508) 334-5979
- Fax
- (508) 334-5232
- NPI assigned
- May 9, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 278434 | MA | Primary |
Addresses
Primary practice location
281 Lincoln St
Worcester, MA 01605-2138
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00274364 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Vermont College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3455 Main St
Suite 5
Springfield, MA 01107-1147
Phone (413) 733-9600
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.06 of 100
- Quality
- 64.46
- Improvement activities
- 40
- Cost
- 75.35
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 215 |
| Removal of skin lesions | 30 |
| Removal of skin cancer | 1538 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 36 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 278434 | MA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New England Dermatology, P.C. | Dermatology | Current | Accepting new patients |
Locations
3455 Main St
Ste 5
Springfield, MA 01107
Phone (413) 733-9600
Interoperability endpoints
- mcunningham@ned.emadirect.md
Organizations & group practices 1
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.
-
- Dermatology Physician
- Springfield, MA
- NPI 1356348098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1558749606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348",
"telephone_number": "800-225-8885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052138",
"telephone_number": "508-334-5979",
"fax_number": "508-334-5232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-09",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "278434",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00274364",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.