Individual provider Active NPI

Kellie Elizabeth Cunningham, M.D.

  • Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1992091789
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MT200096 Issued in PA
Practice address
200 Lothrop St
RM F677 Puh
Pittsburgh, PA 15213-2536
Phone
(412) 647-3389
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MT200096 PA Primary

Addresses

Primary practice location

200 Lothrop St
RM F677 Puh
Pittsburgh, PA 15213-2536

Mailing address

4327 Stanley St
Pittsburgh, PA 15207-1120
Phone (908) 917-6250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200812001401 PA Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 4981912300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

200 Lothrop St
Pittsburgh, PA 15213-2536

9100 Babcock Blvd
Pittsburgh, PA 15237-5815
Phone (412) 367-6700

Hospital & facility affiliations

  • Upmc Presbyterian Shadyside Hospital, Pittsburgh, PA, CCN 390164
  • Upmc Passavant Hospital, Pittsburgh, PA, CCN 390107
  • Upmc Altoona Hospital, Altoona, PA, CCN 390073
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT200096PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians Surgery CurrentSince Sep 1, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 1, 2020 Accepting new patients
Upmc Presbyterian Shadyside Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

9100 Babcock Blvd
Pittsburgh, PA 15237
Phone (412) 367-5589

200 Lothrop St
#D380
Pittsburgh, PA 15213
Phone (412) 647-8666

200 Lothrop St
Rm F677
Pittsburgh, PA 15213
Phone (412) 647-3389

Interoperability endpoints

  • Direct secure messaging: kellie.e.cunningham@upmcdirect.com

Organizations & group practices 6

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 12

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1992091789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4327 STANLEY ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152071120",
            "telephone_number": "908-917-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "RM F677 PUH",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-647-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "KELLIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT200096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.