Active NPI
Summer D Cumba, PA
- Medical Physician Assistant
- Granbury, TX
National Provider Identifier
1104927136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA03637
- Practice address
- 1212 Medical Plaza CT
Granbury, TX 76048-5653 - Phone
- (817) 279-1776
- Fax
- (817) 279-7206
- NPI assigned
- Sep 25, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA03637 | TX | Primary |
Addresses
Primary practice location
1212 Medical Plaza CT
Granbury, TX 76048-5653
Mailing address
1212 Medical Plaza CT
Granbury, TX 76048-5653
Phone (817) 279-1776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050713001028 | TX | Practitioner - Physician Assistant | 2860428521 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C. Brooks Smith M.D. & Associates | Past | Accepting new patients | |
| Premier Orthopedics of Fort Worth, PA | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Granbury, TX
- NPI 1558459297
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Fort Worth, TX
- NPI 1851652457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232409600000",
"number": "1104927136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 MEDICAL PLAZA CT",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760485653",
"telephone_number": "817-279-1776",
"fax_number": "817-279-7206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 MEDICAL PLAZA CT",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760485653",
"telephone_number": "817-279-1776",
"fax_number": "817-279-7206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMBA",
"first_name": "SUMMER",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2009-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA03637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.