Individual provider Active NPI

Kayla E Cunningham, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • San Francisco, CA
National Provider Identifier
1609894534
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
55626 Issued in CT
Practice address
655 Montgomery St Ste 810
San Francisco, CA 94111-2677
Phone
(844) 847-8216
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 55626 CT Primary

Addresses

Primary practice location

655 Montgomery St Ste 810
San Francisco, CA 94111-2677

Mailing address

90 Columbus Ave
Niantic, CT 06357-3131
Phone (844) 847-8216

Other practice location 1

90 Columbus Ave
Niantic, CT 06357-3131
Phone (240) 482-5119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, CA, KS, FL, NY, AZ, VA, NJ, GA, IN, OK, MD12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20161020001465 CT Practitioner - Endocrinology 2062417793 Reassigns benefits to 2 organizations
I20210105000806 CA Practitioner - Endocrinology 2062417793 Reassigns benefits to 1 organization
I20220329000726 KS Practitioner - Internal Medicine 2062417793 Reassigns benefits to 1 organization
I20220330003124 FL Practitioner - Internal Medicine 2062417793 Reassigns benefits to 1 organization
I20220426000614 NY Practitioner - Internal Medicine 2062417793 Reassigns benefits to 1 organization
I20220515000042 AZ Practitioner - Internal Medicine 2062417793 Reassigns benefits to 1 organization
I20220719002520 VA Practitioner - Internal Medicine 2062417793 Reassigns benefits to 1 organization
I20220721002178 NJ Practitioner - Internal Medicine 2062417793 Reassigns benefits to 1 organization
I20220801000259 GA Practitioner - Internal Medicine 2062417793 Reassigns benefits to 1 organization
I20220804001481 IN Practitioner - Internal Medicine 2062417793 Reassigns benefits to 1 organization
I20230127002586 OK Practitioner - Endocrinology 2062417793 Reassigns benefits to 1 organization
I20240808002802 MD Practitioner - Internal Medicine 2062417793 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrine Assoc of CT LLC Endocrinology, Diabetes & Metabolism CurrentSince Oct 4, 2016 Accepting new patients
Anne Arundel Medical Center Inc Past Accepting new patients
Northeast Medical Group, Inc. Endocrinology, Diabetes & Metabolism Past Accepting new patients
Saint Francis Medical Center Past Accepting new patients
Healthtap Medical Group, P.C. PastSince Apr 1, 2022 Accepting new patients
Allara Medical Group PA Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6 Business Park Dr
Ste 304
Branford, CT 06405
Phone (203) 488-5885

1952 Whitney Ave
Ste 14
Hamden, CT 06517
Phone (203) 766-4444

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1609894534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 COLUMBUS AVE",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063573131",
            "telephone_number": "844-847-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MONTGOMERY ST STE 810",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941112677",
            "telephone_number": "844-847-8216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Columbus Ave",
            "address_purpose": "LOCATION",
            "city": "Niantic",
            "state": "CT",
            "postal_code": "063573131",
            "country_code": "US",
            "telephone_number": "240-482-5119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "KAYLA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CT",
            "license": "55626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.