Ted Chan Kummer Jr., FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

739803 Issued in TX

Practice address

4545 Fuller Dr
Suite 325
Irving, TX 75038-6530

Phone

(972) 870-5511

Fax

(972) 870-5512

NPI assigned

Aug 2, 2010

Last updated

May 21, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Iah of Texas, PLLC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Irving, TX
  • NPI 1487051231
  Medicare reassignment NPD
• Vpa of Texas PLLC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Irving, TX
  • NPI 1679510499
  Medicare reassignment NPD
• Vpa of Texas PLLC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Austin, TX
  • NPI 1457399065
  NPD
• Vpa of Texas PLLC

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1578175865
  NPD
• Prompt Care Internal Medicine PA

  • Health Service Clinic/Center
  • Dallas, TX
  • NPI 1164478343
  NPD (past)

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1164736120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991239",
            "telephone_number": "248-824-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 FULLER DR",
            "address_2": "SUITE 325",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386530",
            "telephone_number": "972-870-5511",
            "fax_number": "972-870-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMMER",
        "first_name": "TED",
        "middle_name": "CHAN",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-02",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "739803",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "739803",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepti S Kudyadi, MD
• Victoria Kuehn, MS CF-SLP
• Laurette Dekat Kugelmann, MD, MPH
• Poorva Rahul Kulkarni, PT
• Kartik Sampath Kumar, M.D.
• Bethany Rae Kunasek
• Calvin Kunu, PT, DPT
• Rajni Kunwar, FNP
• Kur Diagnostics, LLC
• Kuriachan Eye Institute, PLLC

• Nurse Practitioner in Irving, TX
• Providers in Irving, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.

Verify at the official NPI Registry.