Individual provider Active NPI

Maria Theresa Taghap Cumba, M.D.

  • Surgery Physician
  • Detroit, MI
National Provider Identifier
1154581155
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301091943 Issued in MI
Practice address
2799 W Grand Blvd
Graduate Medical Education CFP-B
Detroit, MI 48202-2608
Phone
(313) 916-1601
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301091943 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2799 W Grand Blvd
Graduate Medical Education CFP-B
Detroit, MI 48202-2608

Mailing address

200 Riverfront Dr
Apartment 3J
Detroit, MI 48226-4525
Phone (847) 476-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221101001578 NV Practitioner - General Surgery 7911214408 Reassigns benefits to 1 organization
I20260305004119 AZ Practitioner - General Surgery 7911214408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Chicago College of Medicine and Surgery, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians
NV Surgicalist PLLCGroup PAC ID 5698166387, 2 clinicians

Practice addresses (Care Compare)

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 757-2101

7010 Smoke Ranch Rd
Suite 120
Las Vegas, NV 89128-8399
Phone (725) 223-0995

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301091943MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kingman Healthcare, Inc Surgery CurrentSince Feb 20, 2026 Accepting new patients
Kingman Healthcare, Inc CurrentSince Feb 20, 2026 Accepting new patients
NV Surgicalist PLLC Surgery CurrentSince Oct 1, 2022 Accepting new patients

Locations

3104 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 681-8720

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

7010 Smoke Ranch Rd
Ste 120
Las Vegas, NV 89128
Phone (702) 477-7044

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.

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1154581155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RIVERFRONT DR",
            "address_2": "APARTMENT 3J",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482264525",
            "telephone_number": "847-476-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "address_2": "GRADUATE MEDICAL EDUCATION CFP-B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMBA",
        "first_name": "MARIA THERESA",
        "middle_name": "TAGHAP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301091943",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.