Individual provider Active NPI

George Scott Cuming IV, M.D.

  • Pediatrics Physician
  • Roseville, CA
National Provider Identifier
1215908793
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C200208 Issued in CA
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

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
092105802MedicaidTX
092105801MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219002274 WY Practitioner - Pediatric Medicine 8527078922 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E4281TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
G. Scott Cuming IV, M.D. Pediatrics CurrentSince Jun 16, 2024 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Jan 26, 2024 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Jan 26, 2024 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.

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

Verify at the official NPI Registry.