NPIMap

Individual provider Active NPI

Jonathan Cunningham, MD

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1629699210
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME166231 Issued in FL
Practice address
1850 Bluegrass Ave
Louisville, KY 40215-1161
Phone
(502) 367-3360
NPI assigned
May 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35482 FL
Family Medicine Physician 207Q00000X TP317 KY
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X ME166231 FL Primary

Addresses

Primary practice location

1850 Bluegrass Ave
Louisville, KY 40215-1161

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 367-3360

Other practice location 1

700 6th St S
St Petersburg, FL 33701-4815
Phone (727) 893-6116

Other practice location 2

500 S Preston St Rm 305
Louisville, KY 40202-1702
Phone (502) 852-8696

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jonathan.CunninghamMD@direct.mybaycare.org Health Information Exchange (HIE) BayCare Urgent Care, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240307000337 FL Practitioner - Family Practice 5597146316 Reassigns benefits to 2 organizations
I20250428000453 KY Practitioner - Internal Medicine 5597146316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1850 Bluegrass Ave
Louisville, KY 40215-1161
Phone (502) 367-3360

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP317KYMDAnesthesiology Physician
35482FLMDFamily Medicine Physician
ME166231FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians Inc. CurrentSince May 1, 2025 Accepting new patients
Baycare Medical Group, Inc. Family Medicine CurrentSince Mar 5, 2024 Accepting new patients
Baycare Urgent Care, LLC Family Medicine Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince May 1, 2025 Accepting new patients
Baycare Medical Group, Inc. Family Medicine Current Accepting new patients
Baycare Urgent Care, LLC Family Medicine CurrentSince Mar 5, 2024 Accepting new patients
University of Louisville Physicians, Inc. Family Medicine Current Accepting new patients
Uofl Health-Louisville Inc Past Accepting new patients

Locations

2995 Drew St
Clearwater, FL 33759
Phone (727) 315-7496

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

4821 US Highway 19
Ste 5
New Port Richey, FL 34652
Phone (727) 851-9650

2331 4th St N
St Petersburg, FL 33704
Phone (727) 593-9848

7752 Solution Ctr
Chicago, IL 60677

1850 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-6617

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jonathan.cunninghammd@direct.mybaycare.org

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.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1629699210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-367-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 BLUEGRASS AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151161",
            "telephone_number": "502-367-3360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 6th St S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337014815",
            "country_code": "US",
            "telephone_number": "727-893-6116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 S Preston St Rm 305",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021702",
            "country_code": "US",
            "telephone_number": "502-852-8696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-05",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "35482",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "TP317",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME166231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jonathan.CunninghamMD@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Urgent Care, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "700 6th St S",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337014815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.