Individual provider Active NPI

Mary Emily Wilcox Cummings, MD

  • Phlebology Physician
  • Troy, MI
National Provider Identifier
1083778252
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
4301080151 Issued in MI
Practice address
3290 W Big Beaver Rd Ste 410
Troy, MI 48084-2914
Phone
(248) 816-6300
Fax
(248) 816-6335
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X 4301080151 MI Primary
Family Medicine Physician 207Q00000X 4301080151 MI

Addresses

Primary practice location

3290 W Big Beaver Rd Ste 410
Troy, MI 48084-2914

Mailing address

3290 W Big Beaver Rd Ste 410
Troy, MI 48084-2914
Phone (248) 816-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051116000845 MI Practitioner - Family PracticePractitioner - Vascular SurgeryPractitioner - Other (Physician) 6709805971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York Medical College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somerset Venous Center PCGroup PAC ID 0648298851, 2 clinicians

Practice addresses (Care Compare)

3290 W Big Beaver Rd
Suite 410
Troy, MI 48084-2914
Phone (248) 816-6300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Somerset Venous Center PC CurrentSince Aug 2, 2018 Accepting new patients
Somerset Compression Inc PastSince Aug 2, 2018 Accepting new patients

Locations

3290 W Big Beaver Rd
Ste 410
Troy, MI 48084
Phone (248) 305-8400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1083778252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 W BIG BEAVER RD STE 410",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842914",
            "telephone_number": "248-816-6300",
            "fax_number": "248-816-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 W BIG BEAVER RD STE 410",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842914",
            "telephone_number": "248-816-6300",
            "fax_number": "248-816-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "MARY EMILY",
        "middle_name": "WILCOX",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "MI",
            "license": "4301080151",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301080151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.