DR. SUSAN L CUNNINGHAM (D.O.) – Diagnostic Radiology Physician, NPI 1861453086
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
353 DIAGNOSTIC RADIOLOGY in NV
Provider Addresses for DR. SUSAN L CUNNINGHAM (D.O.)
29598 ASHTON CT
MENIFEE, CA 925846417
Phone: (208) 908-1158
Fax: (208) 888-5062
Type: Mailing
2020 PALOMINO LN STE 100
LAS VEGAS, NV 891064894
Phone: (702) 759-8600
Fax: (702) 384-1815
Type: Location
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Phone: (702) 383-2000
Fax: (702) 383-3620
Type: Location
1117, East Devonshire Avenue, Hemet, Riverside County, California, 92543, United States
HEMET, CA 925433083
Phone: (208) 908-1158
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $41.
Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Penumbra, Inc. ($41).
Total Amount
$41
General + Research + Ownership
Payments
1
Total payment records
General Amount
$41
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $41 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-03-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210324000480 | I | Diagnostic Radiology | NV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92584)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| Diagnostic Radiology | TX | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | NV | |
| General Surgery | NV | |
| Nurse Practitioner | NV | |
| - | NV | |
| Diagnostic Radiology | TX |
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