Active NPI
Shani Cunningham, D.O.
- Pediatrics Physician
- Orlando, FL
National Provider Identifier
1942526322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS12051
- Practice address
- 601 E Rollins St
Florida Hospital Pediatric Hospitalists
Orlando, FL 32803-1248 - Phone
- (407) 975-0410
- Fax
- (407) 975-0411
- NPI assigned
- Apr 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4185 | IA | |
| Pediatrics Physician | 208000000X | N4998 | TX | |
| Pediatrics Physician | 208000000X | OS12051 | FL | Primary |
Addresses
Primary practice location
601 E Rollins St
Florida Hospital Pediatric Hospitalists
Orlando, FL 32803-1248
Mailing address
1801 Lee Rd Ste 165
Winter Park, FL 32789-2127
Phone (407) 975-0410
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19242526322 | Medicaid | IA | |
| 009381200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS12051 | FL | MD | Pediatrics Physician |
| 4185 | IA | MD | Pediatrics Physician |
| N4998 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Pediatrics | Current | Accepting new patients |
Locations
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1801 Lee Rd
Ste 165
Winter Park, FL 32789
Phone (407) 975-0406
Interoperability endpoints
- scunningham128888@adventhealth.direct-ci.com
Organizations & group practices 2
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.
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1942526322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 LEE RD STE 165",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892127",
"telephone_number": "407-975-0410",
"fax_number": "407-975-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E ROLLINS ST",
"address_2": "FLORIDA HOSPITAL PEDIATRIC HOSPITALISTS",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031248",
"telephone_number": "407-975-0410",
"fax_number": "407-975-0411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "SHANI",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-11",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "4185",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "N4998",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "OS12051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19242526322",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009381200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.