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

Dr. Ellen Cunningham, MD

Individual provider Dermatology Physician · NPI 1205902186

Dr. Ellen Cunningham, MD is a Dermatology in Mishawaka, Indiana. Qualified in 1995, 31 years ago. Practices with The South Bend Clinic LLC, a 170-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
31
Licensed in
IN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1802 Day Rd
Mishawaka, IN 46545-4329
Phone: (574) 204-7200
Fax: (574) 252-0633
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2102 E Inwood Rd, South Bend, IN 46614-2443 — (574) 204-7200

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 01089272A (IN)

Record details

NPI number1205902186
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 24, 2006
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address1425 Pompton Ave, Cedar Grove, NJ 07009-1043

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice The South Bend Clinic Llc — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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