JADEN CUNNINGHAM DO
NPI 1730948449
Internal Medicine in Idaho Falls, ID

Q: What is Jaden Cunningham's NPI number?

The NPI number for Jaden Cunningham is 1730948449. It was assigned to this individual provider in the NPPES registry on March 15, 2024.

Q: What is Jaden Cunningham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaden Cunningham was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since March 15, 2024PECOS Enrolled

3100 CHANNING WAY, IDAHO FALLS, ID 83404(208) 529-6111 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Jaden Cunningham Do NPPES

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

JADEN CUNNINGHAM DO (NPI 1730948449) is an individual internal medicine provider in Idaho Falls, Idaho, licensed in Idaho (MRO-2402) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of Alabama College Of Osteopathic Medicine (2024).

NPPES Registry Identity

NPI1730948449

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJADEN CUNNINGHAMCredential: DO

Location Address3100 CHANNING WAYIdaho Falls, ID 83404-7533

Mailing Address3100 Channing WayIdaho Falls, ID 83404-7533

Phone(208) 529-6111

Sole ProprietorYes

Medical School CMSAlabama College Of Osteopathic MedicineGraduated 2024

Enumeration DateMarch 15, 2024

Last NPPES UpdateJune 25, 2024

NPPES CertifiedJune 25, 2024

✔ NPI 1730948449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in ID · MRO-2402

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3100 CHANNING WAY, Idaho Falls, ID 83404

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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 (PECOS)

Jaden Cunningham Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274071295

PECOS Enrollment IDI20260506000574

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 Reassignment

Medicare enrollment records show Jaden Cunningham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Santibanez Pac Idaho

2.6 mi

Geriatric Medicine

840 E ELVA ST
Idaho Falls, ID 83401

Reassigned Medicare billing, Idaho enrollment
24 clinicians in this Medicare group

NPI 1346015948 (208) 523-4795

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

Hospital Affiliations CMS Care Compare

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

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID

3/5 CMS rating

OwnershipProprietary

CMS Certification Number130018

Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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 20

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

CARL SAMUEL BRAYTON DO

Student in an Organized Health Care Education/Training Program