Individual provider Active NPI

Cody Cunningham, DO

  • Family Medicine Physician
  • Pocatello, ID
National Provider Identifier
1659000958
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MRO-2181 Issued in ID
Practice address
465 Memorial Dr
Pocatello, ID 83201-4008
Phone
(208) 232-7862
NPI assigned
Jun 10, 2022
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MRO-2181 ID Primary
Family Medicine Physician 207Q00000X O-1875 ID

Addresses

Primary practice location

465 Memorial Dr
Pocatello, ID 83201-4008

Mailing address

500 S 11TH Ave Ste 400
Pocatello, ID 83201-4880
Phone (208) 232-7862

Other practice location 1

1224 8th St
Rupert, ID 83350-1599
Phone (208) 436-0481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20250506002901 ID Practitioner - Family PracticePractitioner - Hospitalist 9436533320 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minidoka Memorial HospitalGroup PAC ID 7315908894, 38 clinicians
Health West IncGroup PAC ID 4981500931, 67 clinicians
Pocatello Health Services LLCGroup PAC ID 6608927637, 171 clinicians

Practice addresses (Care Compare)

1224 8TH St
Rupert, ID 83350-1527
Phone 20843604813167

465 Memorial Dr
Pocatello, ID 83201-4008
Phone 20823278621122

777 Hospital Way
Pocatello, ID 83201-5175
Phone (208) 239-1720

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health West, Inc. Current Accepting new patients
Minidoka Memorial Hospital CurrentSince Aug 11, 2025 Accepting new patients
Pocatello Health Services, LLC CurrentSince Jun 23, 2025 Accepting new patients
Pocatello Health Services, LLC CurrentSince Jun 23, 2025 Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients
Optimum Health, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Health West, Inc. Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients
Minidoka Memorial Hospital CurrentSince Aug 11, 2025 Accepting new patients
Pocatello Health Services, LLC Current Accepting new patients
Health West, Inc. CurrentSince Jun 1, 2025 Accepting new patients

Locations

823 Reed St
American Falls, ID 83211
Phone (208) 226-2822

1001 N 7th Ave
Ste 135
Pocatello, ID 83201
Phone (208) 234-2489

465 Memorial Dr
Pocatello, ID 83201
Phone (208) 234-4700

500 S 11th Ave
Ste 400
Pocatello, ID 83201

500 S 11th Ave
Ste 501
Pocatello, ID 83201
Phone (208) 232-7434

777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000

777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640

1224 8th St
Rupert, ID 83350
Phone (208) 434-8236

Interoperability endpoints

  • Direct secure messaging: ccunningham467568@ahs.direct-ci.com
  • Direct secure messaging: cody.cunningham.1@13153.direct.athenahealth.com
  • Direct secure messaging: cody.cunningham.1@16258.direct.athenahealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1659000958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 11TH AVE STE 400",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014880",
            "telephone_number": "208-232-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 MEMORIAL DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014008",
            "telephone_number": "208-232-7862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 8th St",
            "address_purpose": "LOCATION",
            "city": "Rupert",
            "state": "ID",
            "postal_code": "833501599",
            "country_code": "US",
            "telephone_number": "208-436-0481",
            "fax_number": "208-436-6038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "CODY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-10",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MRO-2181",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-1875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.