Individual provider Active NPI

Andrew Minor Summersgill, M.D.

  • Emergency Medicine Physician
  • Bronx, NY
National Provider Identifier
1083965040
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
18601 Issued in HI
Practice address
234 E 149TH St
Bronx, NY 10451-5504
Phone
(718) 579-5000
NPI assigned
Sep 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 18601 HI Primary

Addresses

Primary practice location

234 E 149TH St
Bronx, NY 10451-5504

Mailing address

241 Hualani St Apt D
Kailua, HI 96734-2297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20160725002334 HI Practitioner - Emergency Medicine 9133412463 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Clinical Education and Research AssociatesGroup PAC ID 1658275847, 19 clinicians
Hawaii Emergency Physicians Associated IncGroup PAC ID 2860390283, 119 clinicians
Waianae District Comprehensive Health and Hospital Board IncorporatedGroup PAC ID 9931008349, shared by 17 NPIs, 162 clinicians

Practice addresses (Care Compare)

347 N Kuakini St
Honolulu, HI 96817-2306
Phone (808) 587-3425

640 Ulukahiki St
Kailua, HI 96734-4454
Phone (808) 263-5164

86-260 Farringtion Hwy
Waianae, HI 96792-3128
Phone (808) 697-3300

Hospital & facility affiliations

  • Adventist Health Castle Hospital, Kailua, HI, CCN 120006
  • Molokai General Hospital Hospital, Kaunakakai, HI, CCN 121303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18601HIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Clinical Education & Research Associates CurrentSince Mar 1, 2024 Accepting new patients
Hawaii Emergency Physicians Associated Inc Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc Emergency Medicine Current Accepting new patients
University Clinical Education & Research Associates CurrentSince Mar 1, 2024 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Jan 21, 2022 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc CurrentSince Jan 21, 2022 Accepting new patients
Midpacific Hospitalists LLC Past Accepting new patients

Locations

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

347 N Kuakini St
Honolulu, HI 96817
Phone (808) 536-2236

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

79-1019 Haukapila St
Kealakekua, HI 96750
Phone (808) 322-4413

128 Lehua St
Wahiawa, HI 96786
Phone (808) 621-4330

86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081

Interoperability endpoints

  • Direct secure messaging: andrew.summersgill.1@19917.direct.athenahealth.com
  • Direct secure messaging: andrew.summersgill.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1348963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1083965040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 HUALANI ST APT D",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504",
            "telephone_number": "718-579-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERSGILL",
        "first_name": "ANDREW",
        "middle_name": "MINOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-30",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "18601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.