Thomas M Cunningham, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G40423 Issued in CA

Practice address

7442 Palm Ave
Sebastopol, CA 95472-4331

Phone

(707) 318-9256

Fax

(707) 823-3956

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Creighton University School of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Aretaeus Telemedicine IncGroup PAC ID 6002953635, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Hospital, Merced, CA, CCN 050444
• Emanuel Medical Center Hospital, Turlock, CA, CCN 050179
• Doctors Medical Center Hospital, Modesto, CA, CCN 050464

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tcunningham208963@hisp.ehr.sutterhealth.org

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.

• Aretaeus Telemedicine Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Santa Rosa, CA
  • NPI 1548490261
  Medicare reassignment Care Compare group
• St. Joseph Health Northern California, LLC

  • General Acute Care Hospital
  • Napa, CA
  • NPI 1235218785
  Medicare reassignment NPD
• St. Joseph Health Northern California, LLC

  • Critical Access Hospital
  • Fortuna, CA
  • NPI 1043292303
  NPD
• St. Joseph Health Northern California, LLC

  • General Acute Care Hospital
  • Santa Rosa, CA
  • NPI 1053529776
  NPD (past)
• St. Joseph Health Northern California, LLC

  • General Acute Care Hospital
  • Santa Rosa, CA
  • NPI 1134152549
  NPD (past)

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

• Dignity Health

  • General Acute Care Hospital
  • Merced, CA
  • NPI 1518018191
  Care Compare affiliation
• Doctors Medical Center of Modesto, Inc.

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1184654923
  Care Compare affiliation
• Doctors Medical Center of Modesto, Inc.

  • General Acute Care Hospital
  • Turlock, CA
  • NPI 1396087672
  Care Compare affiliation

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704499200000",
    "number": "1821034125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7442 PALM AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724331",
            "telephone_number": "707-318-9256",
            "fax_number": "707-823-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7442 PALM AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724331",
            "telephone_number": "707-318-9256",
            "fax_number": "707-823-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-01-06",
        "certification_date": "2024-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G40423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G404230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Gay Craig-Morse, LPCC
• Sally Criss, LAC
• Kenneth Hunter Crittenden, PH.D.
• Cultivation Liberation Family Counseling and Psychotherapy Inc.
• Jason Cunningham, DO
• George Francis Curtis II, PHARM.D.
• Annella Tigard Dalrymple, PH.D.
• Calen Daniel, D.C.
• Juliet W. Dantin, PH.D.
• Nancy Alice Davidson, M.D.

• Specialist in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2024; 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.

Verify at the official NPI Registry.