CHARLES T CUNNINGHAM M.D. NPI 1629045430

NPI Information

  • NPI: 1629045430
  • Provider Name: CHARLES T CUNNINGHAM, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 166 19TH STREET SOUTH
    SUITE 100
    SARTELL, MN
    ZIP 56377
  • Phone: (320) 251-0609

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NPI Details

Charles T Cunningham, M.D. is a diagnostic radiology radiology in Sartell, MN with 33 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Charles T Cunningham, M.D. NPI is 1629045430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

166 19TH STREET SOUTH
SUITE 100
SARTELL, MN
ZIP 56377-154
Phone: (320) 251-0609
Fax: (320) 251-3806

The NPI 1629045430 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml (HCPCS:Q9966)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Injection, midazolam hydrochloride, per 1 mg (HCPCS:J2250)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Ct scan of abdomen before and after contrast (HCPCS:74170)

The enumeration date for this NPI number is 3/1/2006 and was last updated on 2/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology36879MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F71867MEDICARE UPIN
2080006848MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
3166575800MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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