Active NPI
Cody Cunningham, DO
- Family Medicine Physician
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MRO-2181
- Practice address
- 465 Memorial Dr
Pocatello, ID 83201-4008 - Phone
- (208) 232-7862
- NPI assigned
- Jun 10, 2022
- Last updated
- Jul 27, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health West, Inc. | Current | Accepting new patients | |
| Minidoka Memorial Hospital | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Health West, Inc. | Family Medicine | Current | Accepting new patients |
| Optimum Health, PLLC | Current | Accepting new patients | |
| Health West, Inc. | Family Medicine | Current | Accepting new patients |
| Health West, Inc. | Family Medicine | Current | Accepting new patients |
| Minidoka Memorial Hospital | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Health West, Inc. | Current | 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
- ccunningham467568@ahs.direct-ci.com
- cody.cunningham.1@13153.direct.athenahealth.com
- 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.
-
dba Health West Preston Clinic
- Federally Qualified Health Center (FQHC)
- Preston, ID
- NPI 1033595541
-
- Critical Access Hospital
- Rupert, ID
- NPI 1679553531
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1689802852
-
- Emergency Medicine Physician
- Pocatello, ID
- NPI 1306401575
-
dba Health West Aberdeen Clinic
- Federally Qualified Health Center (FQHC)
- Aberdeen, ID
- NPI 1295734796
Family Medicine
-
dba Health West Downey Clinic
- Federally Qualified Health Center (FQHC)
- Downey, ID
- NPI 1588666945
Family Medicine
-
dba Health West American Falls Clinic
- Federally Qualified Health Center (FQHC)
- American Falls, ID
- NPI 1629077235
Family Medicine
-
dba Sryinga Elementary School
- Federally Qualified Health Center (FQHC)
- Pocatello, ID
- NPI 1740143882
-
dba Minidoka Medical Center
- Rural Health Clinic/Center
- Rupert, ID
- NPI 1043387426
-
- Durable Medical Equipment & Medical Supplies
- Pocatello, ID
- NPI 1154089126
-
dba Portneuf Medical Practices
- General Acute Care Hospital
- Pocatello, ID
- NPI 1215165485
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Rupert, ID
- NPI 1679553531
-
dba Portneuf Rehabilitation Center
- Rehabilitation Hospital Unit
- Pocatello, ID
- NPI 1144262114
-
dba Portneuf Medical Center
- General Acute Care Hospital
- Pocatello, ID
- NPI 1790751055
-
dba Quinn Meadows Rehabilitation and Care Center
- Skilled Nursing Facility
- Pocatello, ID
- NPI 1821250713
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.