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Deactivated NPI 1629093885 Deactivated / Inactive NPI Male Practitioner

Dr. Eugene Edward Cunningham , MD

Internal Medicine - Nephrology • Buffalo, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Eugene Cunningham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 12, 2006
NPI Deactivation Date June 12, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Eugene Cunningham, MD was a registered Internal Medicine - Nephrology practicing in Buffalo, NY. Throughout an active medical career spanning 19 years, Dr. Cunningham provided care at the practice location at 462 GRIDER ST until profile deactivation on 2025-06-12.

Practice Location & Contact Primary Location

Practice Address

462 Grider St

Buffalo, NY 142153021

Telephone 7168984803
Fax 7168983928
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Buffalo, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.6 Yrs
State Avg: 27.7 Yrs
Regional Practice Density
27 Specialists

Practicing in Buffalo, NY (1093 Statewide)

Telehealth Adoption Rate
25.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License NY 116171

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Dr. Jennie Hom , MD

Internal Medicine - Nephrology

NPI 1013017318

Doctor of Medicine (M.D.)

Dr. Shirley Botros , DO

Internal Medicine - Nephrology

NPI 1033793625

Doctor of Osteopathic Medicine (D.O.)

Dr. Mohammed Hamid , MD

Internal Medicine - Nephrology

NPI 1053540492

Doctor of Medicine (M.D.)

Cheryl Pietromicca , PA

Physician Assistant

NPI 1083653299

Physician Assistant

Dr. Andre Charest , MD, MSC, FRCPC

Internal Medicine - Nephrology

NPI 1124509278

Doctor of Medicine (M.D.), Master of Science, FRCPC

Dr. Mandip Panesar , MD

Internal Medicine - Nephrology

NPI 1164471959

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 12, 2025

Record deactivated on June 12, 2025

NPI Profile Active June 27, 2012

NPI status registered as active in NPPES database

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Updated Practice Location June 27, 2012

Registered at 462 GRIDER ST, BUFFALO, NY 142153021 (Tel: 7168984803)

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Updated Business Mailing Address June 27, 2012

Registered at 100 MEADOW RD, BUFFALO, NY 142163614 (Tel: 7168984525)

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Provider Name / Credentials Updated June 27, 2012

Recorded as EUGENE CUNNINGHAM, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2012

Internal Medicine (License #116171 in NY)

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Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629093885
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2006
Last Update: June 27, 2012
Deactivation Date: June 12, 2025

Mailing Address

100 Meadow Rd

Buffalo, NY 142163614

Phone: 7168984525

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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