HEATHER DIANNE CUNNINGHAM MD
NPI 1134359581
Internal Medicine - Hematology & Oncology in Santa Maria, CA

Active since July 20, 2009PECOS Enrolled
1325 E CHURCH ST STE 301, SANTA MARIA, CA 93454(805) 349-9393(805) 614-7929 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 4, 2025, Apr 12, 2023, Feb 21, 2019 and 1 more (4 updates tracked since 2017).

About Heather Dianne Cunningham Md NPPES

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

HEATHER DIANNE CUNNINGHAM MD (NPI 1134359581) is an individual hematology & oncology provider in Santa Maria, California, licensed in California (A143134) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2009).

NPPES Registry Identity

NPI1134359581
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameHEATHER DIANNE CUNNINGHAMCredential: MD
Location Address1325 E CHURCH ST STE 301Santa Maria, CA 93454-5915
Mailing Address1325 E Church St Ste 301Santa Maria, CA 93454-5915 · (805) 349-9393 · Fax (805) 614-7929
Fax(805) 614-7929
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2009
Enumeration DateJuly 20, 2009
Last NPPES UpdateNovember 4, 20254 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1134359581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in CA · A143134
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1325 E CHURCH ST STE 301, Santa Maria, CA 93454

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Dianne Cunningham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143535658
PECOS Enrollment IDI20161026002440
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

2

Medicare enrollment records show Heather Cunningham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology & Oncology
5 HARRIS CT, BLDG T, STE. 201
Monterey, CA 93940
  • Reassigned Medicare billing, California enrollment
  • 31 clinicians in this Medicare group
Family Medicine
18661 HIGHWAY 120
Groveland, CA 95321
  • Reassigned Medicare billing, California enrollment
  • 172 clinicians in this Medicare group

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 2

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.
58 services45 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93454 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
$184.40 typical visit price
range $62.01 – $184.40
Typical copayment $46.10 (range $15.50 – $46.10)
Most-billed visit code 99205
Established Patient
$108.26 typical visit price
range $20.60 – $151.20
Typical copayment $27.06 (range $5.15 – $37.80)
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.

Other Providers at the Same Location NPPES 10

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

Internal Medicine (Hematology & Oncology)
1325 E CHURCH ST STE 301
SANTA MARIA, CA 93454
Internal Medicine (Medical Oncology)
1325 E CHURCH ST STE 301
SANTA MARIA, CA 93454
Clinic/Center (Community Health)
1325 E CHURCH ST STE 301
SANTA MARIA, CA 93454
Nurse Practitioner
1325 E CHURCH ST STE 301
SANTA MARIA, CA 93454
Internal Medicine (Hematology & Oncology)
1325 E CHURCH ST STE 301
SANTA MARIA, CA 93454
Internal Medicine (Hematology & Oncology)
1325 E CHURCH ST STE 301
SANTA MARIA, CA 93454
Nurse Practitioner
1325 E CHURCH ST STE 301
SANTA MARIA, CA 93454
Internal Medicine (Hematology & Oncology)
1325 E CHURCH ST STE 301
SANTA MARIA, CA 93454

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 Heather Cunningham's NPI number?

The NPI number for Heather Cunningham is 1134359581. It was assigned to this individual provider in the NPPES registry on July 20, 2009.

Where is Heather Cunningham located?

Heather Cunningham practices at 1325 E Church St Ste 301, Santa Maria, CA 93454. The listed phone number is (805) 349-9393.

What is Heather Cunningham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Heather Cunningham enrolled in Medicare?

Yes. Heather Cunningham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Heather Cunningham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Cunningham reassigns Medicare benefits to 2 organizations: Monterey Bay Oncology A Medical Corporation (Monterey, CA) and Sonora Community Hospital (Groveland, CA). 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 Heather Cunningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Heather Cunningham was last updated on November 4, 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.