Individual provider Active NPI

Michelle Cummins, DPM

  • Foot & Ankle Surgery Podiatrist
  • Los Gatos, CA
National Provider Identifier
1104433226
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E6055 Issued in CA
Practice address
400 Carlton Ave Ste 200
Los Gatos, CA 95032-2629
Phone
(408) 358-6234
Fax
(408) 358-3389
NPI assigned
Sep 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E6055 CA Primary

Addresses

Primary practice location

400 Carlton Ave Ste 200
Los Gatos, CA 95032-2629

Mailing address

PO Box 25576
Belfast, ME 04915-2006
Phone (415) 645-4528

Other practice location 1

2500 Hospital Dr Bldg 1
Mountain View, CA 94040-4106
Phone (650) 940-1511

Other practice location 2

10353 Torre Ave Ste C
Cupertino, CA 95014-3217
Phone (408) 446-5811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240906001294 CA Practitioner - Podiatry 3870033715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Foot Care IncGroup PAC ID 0345329686, 127 clinicians

Practice addresses (Care Compare)

1 Shrader St
Suite 580
San Francisco, CA 94117-1016
Phone (415) 759-2014

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions1-10
Removal of nail tissue318
Removal or shaving of skin growth127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Foot Care Inc Foot & Ankle Surgery CurrentSince Sep 1, 2024 Accepting new patients
Bay Area Foot Care, Inc Foot & Ankle Surgery CurrentSince Sep 1, 2024 Accepting new patients

Locations

10353 Torre Ave
Ste C
Cupertino, CA 95014
Phone (408) 358-6234

1600 Creekside Dr
Ste 3100
Folsom, CA 95630
Phone (916) 269-8865

400 Carlton Ave
Ste 200
Los Gatos, CA 95032
Phone (408) 358-6234

730 16th St
Modesto, CA 95354
Phone (209) 529-9450

2500 Hospital Dr
Bldg 1
Mountain View, CA 94040
Phone (650) 938-9838

2844 Summit St
Ste 107
Oakland, CA 94609
Phone (510) 463-3888

1100 Laurel St
Ste E
San Carlos, CA 94070
Phone (650) 595-4148

1580 Valencia St
Ste 109
San Francisco, CA 94110
Phone (415) 285-7711

1 Shrader St
Ste 580
San Francisco, CA 94117
Phone (415) 292-0638

2114 McKee Rd
San Jose, CA 95116
Phone (408) 272-2211

750 Las Gallinas Ave
Ste 115
San Rafael, CA 94903
Phone (415) 472-5575

3031 W March Ln
Ste 310
Stockton, CA 95219
Phone (209) 472-0800

47 Penny Ln
Ste 1
Watsonville, CA 95076
Phone (831) 728-8844

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: michelle.cummins.1@20181.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1104433226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25576",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152006",
            "telephone_number": "415-645-4528",
            "fax_number": "510-581-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CARLTON AVE STE 200",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322629",
            "telephone_number": "408-358-6234",
            "fax_number": "408-358-3389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Hospital Dr Bldg 1",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940404106",
            "country_code": "US",
            "telephone_number": "650-940-1511",
            "fax_number": "650-940-1991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10353 Torre Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Cupertino",
            "state": "CA",
            "postal_code": "950143217",
            "country_code": "US",
            "telephone_number": "408-446-5811",
            "fax_number": "408-358-3389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUMMINS",
        "first_name": "MICHELLE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2024-09-05",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E6055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.