Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cody Cunningham, DO

Individual provider Family Medicine Physician · NPI 1659000958

Cody Cunningham, DO is a Family Practice in Pocatello, Idaho. Qualified in 2022, 4 years ago. Practices with Minidoka Memorial Hospital, a 39-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

465 Memorial Dr
Pocatello, ID 83201-4008
Phone: (208) 232-7862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1224 8th St, Rupert, ID 83350-1599 — (208) 436-0481

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MRO-2181 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence O-1875 (ID)

Record details

NPI number1659000958
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 10, 2022
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing address500 S 11th Ave Ste 400, Pocatello, ID 83201-4880

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Minidoka Memorial Hospital — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Pocatello