Active NPI
Michael C Kumin, MD
- Family Medicine Physician
- South Berwick, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD17687
- Practice address
- 31 Colcord St
South Berwick, ME 03908-1004 - Phone
- (207) 384-4949
- NPI assigned
- Nov 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD17687 | ME | Primary |
| Family Medicine Physician | 207Q00000X | 16178 | NH |
Addresses
Primary practice location
31 Colcord St
South Berwick, ME 03908-1004
Mailing address
789 Central Ave
Dover, NH 03820-2526
Phone (207) 384-4949
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3087910 | Medicaid | NH | |
| 1184795205 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Jefferson Medical College of Thomas Jefferson University, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10 Members Way
200 Prompt Care
Dover, NH 03820-5933
Phone (603) 609-6930
31 Colcord St
South Berwick, ME 03908-1004
Phone (207) 384-4949
Hospital & facility affiliations
- Wentworth Home Care & Hospice, an Amedisys Partner
- Cornerstone Vna
- Cornerstone Vna
- Wentworth-Douglass Hospital
- York Hospital
- Mainehealth Maine Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17687 | ME | MD | Family Medicine Physician |
| 16178 | NH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Family Medicine | Current | Accepting new patients |
| Wentworth Douglass Hospital | Current | Accepting new patients | |
| Westchester Neurological Consultant PC | Past | Accepting new patients |
Locations
31 Colcord St
South Berwick, ME 03908
Phone (207) 384-4022
8 Century Pines Dr
Ste 2
Barrington, NH 03825
Phone (603) 664-2135
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
15 Old Rollinsford Rd
Ste 204
Dover, NH 03820
Phone (603) 740-2130
10 Members Way
Ste 200
Dover, NH 03820
Phone (603) 609-6930
10 Members Way
Dover, NH 03820
Phone (603) 740-2307
67 Corporate Dr
Fl 3
Portsmouth, NH 03801
Phone (603) 610-8050
85 Main St
Somersworth, NH 03878
Phone (603) 692-5552
Interoperability endpoints
- kumin.michael.wdh@direct.partners.masshiway.net
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Magnetic Resonance Imaging Radiologic Technologist
- Dover, NH
- NPI 1447352430
Family Medicine, ME
-
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1528687829
-
- Diagnostic Radiology Physician
- Somersworth, NH
- NPI 1295326494
-
- Neurology Physician
- Yonkers, NY
- NPI 1114950136
Hospital & facility affiliations 42
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481241600000",
"number": "1184795205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "789 CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "038202526",
"telephone_number": "207-384-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 COLCORD ST",
"city": "SOUTH BERWICK",
"state": "ME",
"postal_code": "039081004",
"telephone_number": "207-384-4949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMIN",
"first_name": "MICHAEL",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-11",
"last_updated": "2016-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "MD17687",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "16178",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3087910",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184795205",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Berwick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.