Individual provider Active NPI

Daniel Cunningham, DO

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1831579598
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS17811 Issued in FL
Practice address
560 Jackson St N Ste 302
St Petersburg, FL 33705-1449
Phone
(727) 895-9640
Fax
(727) 895-9692
NPI assigned
Jun 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS17811 FL Primary
Family Medicine Physician 207Q00000X 02008136A IN
Family Medicine Physician 207Q00000X 125.067375 IL

Addresses

Primary practice location

560 Jackson St N Ste 302
St Petersburg, FL 33705-1449

Mailing address

560 Jackson St N Ste 302
St Petersburg, FL 33705-1449
Phone (727) 895-9640

Other practice location 1

6866 W Stonegate Dr Ste 100
Zionsville, IN 46077-8051
Phone (317) 942-5010

Other practice location 2

9 Heartland Dr Ste C
Bloomington, IL 61704-7733
Phone (309) 663-7642

Other practice location 3

1300 Franklin Ave
Ste 110
Normal, IL 61761-3592
Phone (309) 268-3502

Other identifiers 1

IdentifierTypeStateIssuer
300101275MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DCUNNINGHAM@DIRECT.IUHEALTH.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210811003401 FL Practitioner - Family Practice 5294039533 Reassigns benefits to 1 organization
I20250207001315 IN Practitioner - Family Practice 5294039533 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

Hospital & facility affiliations

  • Elara Caring Home health agency, Kokomo, IN, CCN 157586
  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056
  • Indiana University Health North Hospital Hospital, Carmel, IN, CCN 150161
  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Family Medicine CurrentSince Aug 10, 2021 Accepting new patients
Baycare Medical Group, Inc. Family Medicine CurrentSince Aug 10, 2021 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Apr 3, 2025 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

2995 Drew St
Fl 3
Clearwater, FL 33759

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

560 Jackson St N
Ste 302
St Petersburg, FL 33705
Phone (727) 820-7701

5208 Reliable Pkwy
Chicago, IL 60686

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

6866 W Stonegate Dr
Ste 102
Zionsville, IN 46077
Phone (317) 415-1000

Interoperability endpoints

  • Direct secure messaging: daniel.cunninghamdo@direct.mybaycare.org
  • Direct secure messaging: dcunningham@direct.iuhealth.org

Organizations & group practices 5

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 5

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1831579598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 JACKSON ST N STE 302",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051449",
            "telephone_number": "727-895-9640",
            "fax_number": "727-895-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 JACKSON ST N STE 302",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051449",
            "telephone_number": "727-895-9640",
            "fax_number": "727-895-9692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6866 W Stonegate Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Zionsville",
            "state": "IN",
            "postal_code": "460778051",
            "country_code": "US",
            "telephone_number": "317-942-5010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Heartland Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617047733",
            "country_code": "US",
            "telephone_number": "309-663-7642",
            "fax_number": "309-663-7642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Franklin Ave",
            "address_2": "Ste 110",
            "address_purpose": "LOCATION",
            "city": "Normal",
            "state": "IL",
            "postal_code": "617613592",
            "country_code": "US",
            "telephone_number": "309-268-3502",
            "fax_number": "309-368-3713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "DANIEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS17811",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02008136A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.067375",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300101275",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DCUNNINGHAM@DIRECT.IUHEALTH.ORG",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6866 W Stonegate Dr Ste 100",
            "city": "Zionsville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460778051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.