Individual provider Active NPI

Michael L Cummings, M.D.

  • Pediatrics Physician
  • Weymouth, MA
National Provider Identifier
1285630970
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
269000 Issued in MA
Practice address
97 Libbey Pkwy Ste 203
Weymouth, MA 02189-3110
Phone
(781) 337-5680
Fax
(781) 337-3275
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 269000 MA Primary

Addresses

Primary practice location

97 Libbey Pkwy Ste 203
Weymouth, MA 02189-3110

Mailing address

97 Libbey Parkway
Suite 203
Weymouth, MA 02189
Phone (781) 337-3275

Other identifiers 2

IdentifierTypeStateIssuer
MC01342MedicaidRI
2067846MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20220301002614 MA Practitioner - Pediatric Medicine 6709969868 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
269000MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare South PC Pediatrics CurrentSince Feb 23, 2022 Accepting new patients

Locations

223 Chief Justice Cushing Hwy
Ste 101
Cohasset, MA 02025
Phone (781) 383-6800

56 New Driftway
Ste 301
Scituate, MA 02066
Phone (781) 383-6261

97 Libbey Park
Ste 203
Weymouth, MA 02189
Phone (781) 337-5680

97 Libbey Park
Ste 204
Weymouth, MA 02189
Phone (781) 803-2786

Interoperability endpoints

  • Direct secure messaging: michaelcummings@hcs.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285630970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 LIBBEY PARKWAY",
            "address_2": "SUITE 203",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "02189",
            "telephone_number": "781-337-3275",
            "fax_number": "781-337-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 LIBBEY PKWY STE 203",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893110",
            "telephone_number": "781-337-5680",
            "fax_number": "781-337-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "269000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MC01342",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2067846",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.