Shane W Cummings, M D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5887 Issued in AK

Practice address

1310 E Dimond Blvd
Suite 1
Anchorage, AK 99515-2031

Phone

(907) 344-2400

Fax

(907) 344-2404

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Aug 10, 2019 through Aug 10, 2027

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15729/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/BEBBDD/Endpoint/BEBBDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anchorage Doctors Incorporated

  • Urgent Care Clinic/Center
  • Anchorage, AK
  • NPI 1467720151
  NPD (past) Authorized official
• Alaska Medical Clinics, LLC

  • Urgent Care Clinic/Center
  • Wasilla, AK
  • NPI 1316015480

  Family Medicine

  NPD (past)
• First Care Medical Centers LLC

  • Urgent Care Clinic/Center
  • Anchorage, AK
  • NPI 1578655213
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1013083286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 E DIMOND BLVD",
            "address_2": "SUITE 1",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152031",
            "telephone_number": "907-344-2400",
            "fax_number": "907-344-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E DIMOND BLVD",
            "address_2": "SUITE 1",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152031",
            "telephone_number": "907-344-2400",
            "fax_number": "907-344-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "SHANE",
        "middle_name": "W",
        "credential": "M D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AK",
            "license": "5887",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "5887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012003",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan C Cullinane
• Anne Cullings, LPC
• Christopher A Cullings, MHS
• Stefanie Culp, DPT
• Sandra Cherise Cummings, PTA
• Stephanie Regina Cummings, LPN
• Thomas Cummings Jr., RN
• Marilou C Cunanan
• Emily Jean Cunningham
• Jesse Frank Cunningham, L.AC.

• Family Medicine Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.