DR. JEFFERY CUNNINGHAM MD
NPI 1114160058
Internal Medicine in Riverside, RI

Q: What is Jeffery Cunningham's NPI number?

The NPI number for Jeffery Cunningham is 1114160058. It was assigned to this individual provider in the NPPES registry on April 8, 2009.

Q: What is Jeffery Cunningham's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 08, 2009PECOS EnrolledAccepts Medicare Assignment

86.51/100

CMS Quality Rating

375 WAMPANOAG TRL, RIVERSIDE, RI 02915(401) 649-4020(401) 649-4021 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 9, 2025, Mar 10, 2021, Feb 9, 2016 (3 updates tracked since 2016).

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About Dr. Jeffery Cunningham Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFERY CUNNINGHAM MD (NPI 1114160058) is an individual internal medicine provider in Riverside, Rhode Island, licensed in Rhode Island (MD20941) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2009).

NPPES Registry Identity

NPI1114160058

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JEFFERY CUNNINGHAMCredential: MD

Location Address375 WAMPANOAG TRLRiverside, RI 02915-2232

Mailing AddressDept 3010, Po Box 986524Boston, MA 02298-6524 · (401) 443-4992 · Fax (401) 784-4913

Phone(401) 649-4020

Fax(401) 649-4021

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2009

Enumeration DateApril 8, 2009

Last NPPES UpdateOctober 9, 20253 updates tracked since enumeration

NPPES CertifiedOctober 9, 2025

✔ NPI 1114160058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in RI · MD20941✔ Licensed in MN · 56847

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 56847 (MN)

375 WAMPANOAG TRL, Riverside, RI 02915

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeffery Cunningham Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345488227

PECOS Enrollment IDI20130920000416, I20251114000479

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jeffery Cunningham reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brown Medicine

Same address

Endocrinology, Diabetes & Metabolism

375 WAMPANOAG TRL
Riverside, RI 02915

Reassigned Medicare billing, Rhode Island enrollment
256 clinicians in this Medicare group

NPI 1104564137 (401) 444-7793

Coastal Medical Physicians, Inc.

Same address

Internal Medicine

375 WAMPANOAG TRL
Riverside, RI 02915

Reassigned Medicare billing, Rhode Island enrollment
268 clinicians in this Medicare group

NPI 1093678104 (401) 649-4000

Fairview Express Care

1,104 mi

Pediatric Rehabilitation Medicine

9680 TAMARACK RD, SUITE 130
Woodbury, MN 55125

Reassigned Medicare billing, Minnesota enrollment
3,633 clinicians in this Medicare group

NPI 1700235587 (612) 273-1172

Fairview Clinics

1,104 mi

Primary Care

11725 STINSON AVE
Chisago City, MN 55013

Reassigned Medicare billing, Minnesota enrollment
2,302 clinicians in this Medicare group

NPI 1912151101 (651) 257-8499

Fairview Health Services

1,110 mi

General Acute Care Hospital

5200 FAIRVIEW BLVD
Wyoming, MN 55092

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1083692941 (651) 982-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

229 services170 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

173 services128 patients

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

124 services12 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

95 services87 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

84 services81 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

82 services82 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

74 services72 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

63 services47 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

52 services48 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

50 services47 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

50 services48 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

49 services46 patients

Prostate cancer screening; prostate specific antigen test (psa) G0103

Prostate cancer screening involves a simple blood test known as the Prostate Specific Antigen (PSA) test. This test measures the level of PSA in your blood. Higher than normal levels can be an early indication of prostate issues, including cancer. It's a key tool in early detection.

35 services35 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

33 services30 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

21 services18 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

19 services18 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

17 services17 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

16 services16 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

15 services15 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

14 services14 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

13 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240080

Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County

Emergency services Birthing friendly

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number240207

Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County

Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02915 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.51/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.59

Promoting Interoperability

100

Improvement Activities

Cost

67.96

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers12 claims36 services$6.20 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN A LEVISS MD

Internal Medicine

375 WAMPANOAG TRL
RIVERSIDE, RI 02915

Providence County (401) 649-4020

THOMAS D DENUCCI M.D.

Internal Medicine (Gastroenterology)

375 WAMPANOAG TRL, SUITE 202A
RIVERSIDE, RI 02915

Providence County (401) 649-4030

MRIGANKA SINGH M.D.

Internal Medicine (Geriatric Medicine)

375 WAMPANOAG TRL
RIVERSIDE, RI 02915

Providence County (401) 649-4010

KRISTEN TILLQUIST DO

Internal Medicine (Nephrology)

375 WAMPANOAG TRL
RIVERSIDE, RI 02915

Providence County (401) 649-4060

DONNA MARIE RONDEAU-MARZULLO NP

Nurse Practitioner (Gerontology)

375 WAMPANOAG TRL, SUITE 102
RIVERSIDE, RI 02915

Providence County (401) 649-4010

DR. ANKUR SHAH M.D.

Internal Medicine (Nephrology)

375 WAMPANOAG TRL
RIVERSIDE, RI 02915

Providence County (401) 649-4060

REGINALD Y GOHH MD

Internal Medicine (Nephrology)

375 WAMPANOAG TRL, SUITE 302A
RIVERSIDE, RI 02915

Providence County (401) 649-4060

GABRIELLE HERMES BURKE NP

Nurse Practitioner (Family)

375 WAMPANOAG TRL
RIVERSIDE, RI 02915

Providence County (401) 649-4030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffery Cunningham's NPI number?

The NPI number for Jeffery Cunningham is 1114160058. It was assigned to this individual provider in the NPPES registry on April 8, 2009.

Where is Jeffery Cunningham located?

Jeffery Cunningham practices at 375 Wampanoag Trl, Riverside, RI 02915. The listed phone number is (401) 649-4020.

What is Jeffery Cunningham's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jeffery Cunningham enrolled in Medicare?

Yes. Jeffery Cunningham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jeffery Cunningham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffery Cunningham reassigns Medicare benefits to 5 organizations: Brown Medicine (Riverside, RI), Coastal Medical Physicians, Inc. (Riverside, RI), Fairview Express Care (Woodbury, MN), Fairview Clinics (Chisago City, MN) and Fairview Health Services (Wyoming, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffery Cunningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jeffery Cunningham affiliated with any hospitals?

According to CMS data, Jeffery Cunningham is affiliated with M Health Fairview University Of Mn, M Health Fairview Ridges Hospital, Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Jeffery Cunningham was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.