Active NPI
Patrick W Cummings, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- West Allis, WI
National Provider Identifier
1194715995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 18369020
- Practice address
- 2424 S 90TH St
Suite 500
West Allis, WI 53227-2455 - Phone
- (414) 328-8600
- Fax
- (414) 328-8686
- NPI assigned
- Oct 24, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 18369020 | WI | Primary |
Addresses
Primary practice location
2424 S 90TH St
Suite 500
West Allis, WI 53227-2455
Mailing address
19475 W North Ave
Suite 201
Brookfield, WI 53045-4199
Phone (262) 780-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30132900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18369020 | WI | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Orthopedic and Rehabilation Specalist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FFEGBD
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- New Berlin, WI
- NPI 1710520200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200441600000",
"number": "1194715995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19475 W NORTH AVE",
"address_2": "SUITE 201",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530454199",
"telephone_number": "262-780-4400",
"fax_number": "262-780-4425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 S 90TH ST",
"address_2": "SUITE 500",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532272455",
"telephone_number": "414-328-8600",
"fax_number": "414-328-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINGS",
"first_name": "PATRICK",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2008-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "WI",
"license": "18369020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30132900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.