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

Douglas L Cunningham, DO

Individual provider Geriatric Medicine (Family Medicine) Physician · NPI 1104856475

Douglas L Cunningham, DO is a Family Practice in Phoenix, Arizona. Qualified in 1986, 40 years ago. Practices with Pueblo Family Physicians Ltd, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
40
Licensed in
AZ
In the registry since
2006
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

4350 N 19th Ave Ste 6
Phoenix, AZ 85015-4602
Phone: (602) 264-9191
Fax: (602) 532-2973
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2325 (AZ)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence 2325 (AZ)

Record details

NPI number1104856475
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021
Mailing address4350 N 19th Ave, Suite 6, Phoenix, AZ 85015-4602

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Pueblo Family Physicians Ltd — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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