THOMAS J CUNNINGHAM II MD
NPI 1982191136
Internal Medicine in Birmingham, AL

Active since April 13, 2018PECOS EnrolledAccepts Medicare Assignment
3686 GRANDVIEW PKWY STE 820, BIRMINGHAM, AL 35243(205) 971-4910(205) 971-3000 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2023, Jul 13, 2021, Apr 13, 2018 (3 updates tracked since 2018).

About Thomas J Cunningham Ii Md NPPES

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

THOMAS J CUNNINGHAM II MD (NPI 1982191136) is an individual internal medicine provider in Birmingham, Alabama, licensed in Alabama (2093) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2018).

NPPES Registry Identity

NPI1982191136
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTHOMAS J CUNNINGHAM IICredential: MD
Location Address3686 GRANDVIEW PKWY STE 820Birmingham, AL 35243-3408
Mailing Address817 Princeton Ave Sw Ste 106Birmingham, AL 35211-1340 · (205) 971-5745
Fax(205) 971-3000
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2018
Enumeration DateApril 13, 2018
Last NPPES UpdateFebruary 2, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
NPI 1982191136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in AL · 2093
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.
3686 GRANDVIEW PKWY STE 820, Birmingham, AL 35243

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Thomas J Cunningham Ii 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 ID4284035601
PECOS Enrollment IDI20210623001221
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.

Areas of Expertise CMS Part B claims 15

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.

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
352 services45 patients
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.
299 services166 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
161 services47 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.
126 services126 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
63 services63 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.
59 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35243 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 7

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

Internal Medicine
3686 GRANDVIEW PKWY STE 820
BIRMINGHAM, AL 35243
Nurse Practitioner (Family)
3686 GRANDVIEW PKWY STE 820
BIRMINGHAM, AL 35243
Internal Medicine
3686 GRANDVIEW PKWY STE 820
BIRMINGHAM, AL 35243
General Practice
3686 GRANDVIEW PKWY STE 820
BIRMINGHAM, AL 35243
Nurse Practitioner (Primary Care)
3686 GRANDVIEW PKWY STE 820
BIRMINGHAM, AL 35243
Internal Medicine
3686 GRANDVIEW PKWY STE 820
BIRMINGHAM, AL 35243
Internal Medicine
3686 GRANDVIEW PKWY STE 820
BIRMINGHAM, AL 35243

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 Thomas Cunningham's NPI number?

The NPI number for Thomas Cunningham is 1982191136. It was assigned to this individual provider in the NPPES registry on April 13, 2018.

Where is Thomas Cunningham located?

Thomas Cunningham practices at 3686 Grandview Pkwy Ste 820, Birmingham, AL 35243. The listed phone number is (205) 971-4910.

What is Thomas Cunningham's specialty?

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

Is Thomas Cunningham enrolled in Medicare?

Yes. Thomas 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.

What insurance does Thomas Cunningham accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Thomas Cunningham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Cunningham was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.