Individual provider Active NPI

Devin Matthew Cunning, M.D.

  • Otolaryngology Physician
  • Lake Havasu City, AZ
National Provider Identifier
1629035944
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
27267 Issued in AZ
Practice address
1760 McCulloch Blvd N
Ste. 100
Lake Havasu City, AZ 86403-6559
Phone
(928) 854-5368
Fax
(928) 854-4462
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy Physician 207YX0602X 27267 AZ
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 27267 AZ
Otolaryngology Physician 207Y00000X 27267 AZ Primary
Sleep Medicine (Otolaryngology) Physician 207YS0012X 27267 AZ

Addresses

Primary practice location

1760 McCulloch Blvd N
Ste. 100
Lake Havasu City, AZ 86403-6559

Mailing address

1760 McCulloch Blvd N
Ste. 100
Lake Havasu City, AZ 86403-6559
Phone (928) 854-5368

Other identifiers 1

IdentifierTypeStateIssuer
469868MedicaidAZ

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
I20041202000434 AZ Practitioner - OtolaryngologyPractitioner - Sleep Medicine 2769474113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Sleep Medicine
Education
Medical College of Wisconsin, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HRMC, LLCGroup PAC ID 3072641265, 33 clinicians
Arizona Coast Ear, Nose and Throat, LTD.Group PAC ID 2668456104, 5 clinicians

Practice addresses (Care Compare)

101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (928) 453-3761

1760 McCulloch Blvd N
Suite 100
Lake Havasu City, AZ 86403-6978
Phone (928) 854-8368

1760 N McCulloch Blvd
Suite 100
Lake Havasu City, AZ 86403-6559
Phone (928) 854-5368

1799 Kiowa Ave
Suite 104
Lake Havasu City, AZ 86403-2867
Phone (928) 505-1030

Hospital & facility affiliations

  • Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
  • La Paz Regional Hospital Hospital, Parker, AZ, CCN 031317

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27267AZMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Coast Ear, Nose & Throat, LTD. Otolaryngology CurrentSince Feb 21, 2001 Accepting new patients
HRMC, LLC CurrentSince Mar 1, 2026 Accepting new patients
HRMC, LLC Family Medicine CurrentSince Mar 1, 2026 Accepting new patients
La Paz Regional Hospital Inc Current Accepting new patients
HRMC, LLC Past Accepting new patients
HRMC, LLC Past Accepting new patients

Locations

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1830 Mesquite Ave
Ste B
Lk Havasu Cty, AZ 86403
Phone (928) 453-0777

1760 McCulloch Blvd N
Lk Havasu Cty, AZ 86403
Phone (928) 854-5368

1760 McCulloch Blvd N
Ste 100
Lk Havasu Cty, AZ 86403
Phone (928) 854-5368

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19231/brand/1/csg/1/fhir/r4
  • Direct secure messaging: bbi9410@yourcarecommunity.org
  • Direct secure messaging: devincunning@lprh.medalliesdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1629035944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 MCCULLOCH BLVD N",
            "address_2": "STE. 100",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036559",
            "telephone_number": "928-854-5368",
            "fax_number": "928-854-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 MCCULLOCH BLVD N",
            "address_2": "STE. 100",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036559",
            "telephone_number": "928-854-5368",
            "fax_number": "928-854-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNING",
        "first_name": "DEVIN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "AZ",
            "license": "27267",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "AZ",
            "license": "27267",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "27267",
            "primary": true
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "AZ",
            "license": "27267",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "469868",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.