NPIMap

Individual provider Active NPI

David John Cunningham, M.D.

  • Family Medicine Physician
  • Glens Falls, NY
National Provider Identifier
1659353027
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
218554 Issued in NY
Practice address
3 Irongate Center
Glens Falls, NY 12801-3471
Phone
(518) 793-4409
Fax
(518) 793-5886
NPI assigned
Nov 18, 2005
Last updated
Aug 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 218554 NY Primary

Addresses

Primary practice location

3 Irongate Center
Glens Falls, NY 12801-3471

Mailing address

3 Irongate Center
Glens Falls, NY 12801-3471
Phone (518) 793-4409

Other practice location 1

100 Park Street
Hospitalist Program
Glens Falls, NY 12801-4413
Phone (518) 926-5925

Other identifiers 15

IdentifierTypeStateIssuer
10472731OtherNYCAQH
080159576OtherNYRAILROAD MEDICARE
02116425MedicaidNY
7752353OtherNYAETNA
000000056825OtherNYGHI-HMO
00025171701OtherNYUNIVERA
NY0065274OtherNYTRICARE
000021202440OtherNYFIDELIS
08952OtherNYMVP
10048591OtherNYCDPHP
27V731OtherNYBLUE CROSS BLUE SHIELD
CD1981OtherNYRAILROAD MEDICARE GROUP #
000496674001OtherNYBLUE SHIELD NENY
000496674001OtherNYBLUE SHIELD WNY
5998716OtherNYGHI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.cunningham@cdirectglensfallshosp.org Glens Falls Hospital Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100907000564 NY Practitioner - Family Practice 9537167960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York Medical College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glens Falls Hospital IncGroup PAC ID 8325955974, 175 clinicians
Irongate Family Practice Associates PLLCGroup PAC ID 4981602307, 27 clinicians

Practice addresses (Care Compare)

100 Park St
Glens Falls, NY 12801-4413
Phone (518) 926-1000

3 Irongate Ctr
Glens Falls, NY 12801-3471
Phone (518) 793-4409

79 N St
Granville Medical Center
Granville, NY 12832-1137
Phone (518) 642-0612

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions119
Removal or shaving of skin growth18
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218554NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Glens Falls Hospital Inc. Family Medicine CurrentSince Apr 1, 2018 Accepting new patients
Glens Falls Hospital Inc CurrentSince Apr 1, 2018 Accepting new patients
Irongate Family Practice Associates PLLC Family Medicine CurrentSince Sep 11, 2000 Accepting new patients
Glens Falls Hospital Inc Past Accepting new patients

Locations

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

3 Irongate Ctr
Glens Falls, NY 12801
Phone (518) 793-4409

79 North St
Granville, NY 12832
Phone (518) 642-0612

Interoperability endpoints

  • Direct secure messaging: dcunningham@irongatefamilypractice.medentdirect.com

Organizations & group practices 4

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 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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1659353027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 IRONGATE CENTER",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013471",
            "telephone_number": "518-793-4409",
            "fax_number": "518-793-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 IRONGATE CENTER",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013471",
            "telephone_number": "518-793-4409",
            "fax_number": "518-793-5886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Park Street",
            "address_2": "Hospitalist Program",
            "address_purpose": "LOCATION",
            "city": "Glens Falls",
            "state": "NY",
            "postal_code": "128014413",
            "country_code": "US",
            "telephone_number": "518-926-5925",
            "fax_number": "518-926-5917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2021-08-17",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "218554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10472731",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080159576",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02116425",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7752353",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-HMO",
            "identifier": "000000056825",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00025171701",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "NY0065274",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "000021202440",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "08952",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10048591",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "27V731",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "CD1981",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NENY",
            "identifier": "000496674001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD WNY",
            "identifier": "000496674001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5998716",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.cunningham@cdirectglensfallshosp.org",
            "affiliation": "Y",
            "affiliationName": "Glens Falls Hospital Inc.",
            "address_1": "100 Park Street",
            "address_2": "Hospitalist Program",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128014413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.