Active NPI
George Scott Cuming IV, M.D.
- Pediatrics Physician
- Roseville, CA
National Provider Identifier
1215908793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C200208
- Practice address
- 5 Medical Plaza Dr Ste 170
Roseville, CA 95661-2867 - Phone
- (916) 737-5555
- Fax
- (916) 737-5555
- NPI assigned
- Jan 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C200208 | CA | Primary |
| Pediatrics Physician | 208000000X | TX78240 | WI | |
| Pediatrics Physician | 208000000X | 16595A | WY | |
| Pediatrics Physician | 208000000X | E4281 | TX |
Addresses
Primary practice location
5 Medical Plaza Dr Ste 170
Roseville, CA 95661-2867
Mailing address
12685 Old Wick Rd
San Antonio, TX 78230-1947
Phone (210) 846-1726
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092105802 | Medicaid | TX | |
| 092105801 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4281 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G. Scott Cuming IV, M.D. | Pediatrics | Current | Accepting new patients |
| Memorial Hospital of Sweetwater County | Current | Accepting new patients | |
| Memorial Hospital of Sweetwater County | Current | Accepting new patients |
Locations
8647 Wurzbach Rd
Bldg O
San Antonio, TX 78240
Phone (210) 696-2800
1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352
1180 College Dr
Rock Springs, WY 82901
Phone (307) 352-8125
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Rock Springs, WY
- NPI 1558361949
-
- Pediatric Adolescent Medicine Physician
- San Antonio, TX
- NPI 1467575548
Pediatrics
-
- Internal Medicine Physician
- Rock Springs, WY
- NPI 1437312436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1215908793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12685 OLD WICK RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782301947",
"telephone_number": "210-846-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MEDICAL PLAZA DR STE 170",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612867",
"telephone_number": "916-737-5555",
"fax_number": "916-737-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMING",
"first_name": "GEORGE",
"middle_name": "SCOTT",
"name_suffix": "IV",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-31",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C200208",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "TX78240",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WY",
"license": "16595A",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "E4281",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092105802",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092105801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.