Active NPI
Mary Emily Wilcox Cummings, MD
- Phlebology Physician
- Troy, MI
National Provider Identifier
1083778252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- 4301080151
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
3290 W Big Beaver Rd
Suite 410
Troy, MI 48084-2914
Phone (248) 816-6300
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 112 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somerset Venous Center PC | Current | Accepting new patients | |
| Somerset Compression Inc | Past | 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.
-
- Vascular Surgery Physician
- Troy, MI
- NPI 1740396043
-
- Durable Medical Equipment & Medical Supplies
- Troy, MI
- NPI 1366558660
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.