DR. KANIKA ATESHIA CUNNINGHAM M.D.
NPI 1174937189
Family Medicine in Saint Louis, MO

Q: What is Kanika Cunningham's NPI number?

The NPI number for Kanika Cunningham is 1174937189. It was assigned to this individual provider in the NPPES registry on June 17, 2014.

Q: What is Kanika Cunningham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kanika Cunningham was last updated on January 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 17, 2014PECOS Enrolled

401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111(314) 353-5190 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 18, 2022, Dec 2, 2021, Aug 17, 2021 and 2 more (5 updates tracked since 2017).

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About Dr. Kanika Ateshia Cunningham M.d. NPPES

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

DR. KANIKA ATESHIA CUNNINGHAM M.D. (NPI 1174937189) is an individual family medicine provider in Saint Louis, Missouri, licensed in Missouri (2017024008) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174937189

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KANIKA ATESHIA CUNNINGHAMCredential: M.D.

Location Address401 HOLLY HILLS AVESaint Louis, MO 63111-2410

Mailing Address401 Holly Hills AveSaint Louis, MO 63111-2410 · (314) 353-5190 · Fax (314) 353-7631

Phone(314) 353-5190

Sole ProprietorNo

Enumeration DateJune 17, 2014

Last NPPES UpdateJanuary 18, 20225 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2022

✔ NPI 1174937189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · 2017024008

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

401 HOLLY HILLS AVE, Saint Louis, MO 63111

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kanika Ateshia Cunningham M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63111 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

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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.

DR. LEXI KATHLEEN WISCH PT, DPT

Physical Therapist