Individual provider Active NPI

Thomas J Cunningham Jr., M.D.

  • Gynecology Physician
  • Monterey, CA
National Provider Identifier
1700812799
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
C155377 Issued in CA
Practice address
23845 Holman Hwy Ste 227
Monterey, CA 93940-5901
Phone
(831) 624-3579
Fax
(831) 886-3611
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01049021 IN
Gynecology Physician 207VG0400X C155377 CA Primary

Addresses

Primary practice location

23845 Holman Hwy Ste 227
Monterey, CA 93940-5901

Mailing address

23845 Holman Hwy Ste 227
Monterey, CA 93940-5901
Phone (831) 624-3579

Other practice location 1

575 Coal Valley Rd
suite 575
Jefferson Hills, PA 15025-3730
Phone (412) 267-6280

Other identifiers 1

IdentifierTypeStateIssuer
200337450MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180828002150 CA Practitioner - Obstetrics/Gynecology 0244414381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Pittsburgh School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montage Medical GroupGroup PAC ID 6406901941, 125 clinicians

Practice addresses (Care Compare)

23845 Holman Hwy
Suite 227
Monterey, CA 93940-5901
Phone (831) 582-2100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
73.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01049021INMDObstetrics & Gynecology Physician
C155377CAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montage Medical Group CurrentSince Aug 15, 2018 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince May 5, 2019 Accepting new patients
University Obstetricians-Gynecologists,Inc Obstetrics & Gynecology Past Accepting new patients
Community Hospital of the Monterey Peninsula Past Accepting new patients

Locations

23845 Holman Hwy
Ste 210
Monterey, CA 93940
Phone (831) 620-0296

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

23845 Holman Hwy
Ste 227
Monterey, CA 93940
Phone (831) 582-2100

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1700812799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23845 HOLMAN HWY STE 227",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405901",
            "telephone_number": "831-624-3579",
            "fax_number": "831-886-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23845 HOLMAN HWY STE 227",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405901",
            "telephone_number": "831-624-3579",
            "fax_number": "831-886-3611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 Coal Valley Rd",
            "address_2": "suite 575",
            "address_purpose": "LOCATION",
            "city": "Jefferson Hills",
            "state": "PA",
            "postal_code": "150253730",
            "country_code": "US",
            "telephone_number": "412-267-6280",
            "fax_number": "412-267-6281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01049021",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "C155377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200337450",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.