Active NPI
David D Gummin, M.D.
- Emergency Medicine Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD2023-1333
- Practice address
- 1 University of New Mexico
MSC 07 4390
Albuquerque, NM 87131 - Phone
- (505) 272-4261
- NPI assigned
- May 30, 2006
- Last updated
- Mar 13, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 42056-020 | WI | |
| Emergency Medicine Physician | 207P00000X | 036094168 | IL | |
| Emergency Medicine Physician | 207P00000X | MD2023-1333 | NM | Primary |
Addresses
Primary practice location
1 University of New Mexico
MSC 07 4390
Albuquerque, NM 87131
Mailing address
800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310
Other practice location 1
Zablocki VAMC Emergency Department
5000 W National Ave
Milwaukee, WI 53295-3522
Phone (414) 384-2000 ext. 45994
Other practice location 2
SRMC Emergency Department
3001 Broadmoor Blvd NE
Rio Rancho, NM 87144
Phone (505) 994-7000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930091555 | Other | WI | MEDICARE RAILROAD |
| 036094168 | Medicaid | IL | |
| 399729456001 | Other | WI | BCBS OF WISCONSIN |
| 1497702898 | Medicaid | WI |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | UNMH@direct.health.unm.edu | ||
| Direct Messaging Address | SRMC@direct.health.unm.edu | ||
| Direct Messaging Address | UNMMG@direct.health.unm.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, NM
- 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
- Emergency Medicine
- Education
- University of Wisconsin School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036094168 | IL | MD | Emergency Medicine Physician |
| MD2023-1333 | NM | MD | Emergency Medicine Physician |
| 42056-020 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| DRS. Massaro & Kalenak S C | Current | Accepting new patients | |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Emergency Medicine | Current | Accepting new patients |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Unm Medical Group Inc | Current | Accepting new patients | |
| Northern Illinois Emergency & Occp Med Spec | Past | Accepting new patients | |
| Inphynet Primary Care Physicians Midwest, S.C. | Emergency Medicine | Past | Accepting new patients |
Locations
933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476
800 Bradbury Dr SE
Ste 116
Albuquerque, NM 87106
Phone (505) 272-1476
3001 Broadmoor Blvd NE
Rio Rancho, NM 87144
Phone (505) 994-7000
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
10911 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-2080
5000 W National Ave
Milwaukee, WI 53295
Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122
2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000
4805 S Moorland Rd
New Berlin, WI 53151
Phone (262) 798-7200
500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501
9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1831218627
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Emergency Medicine
-
dba UNM Truman Health Services Pharmacy
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1417330044
-
- Ophthalmology Physician
- Milwaukee, WI
- NPI 1558482364
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
- Physician Assistant
- Fort Wayne, IN
- NPI 1528090610
Emergency Medicine
-
- Emergency Care Clinic/Center
- Melrose Park, IL
- NPI 1881763449
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1689747552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1497702898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BRADBURY DR SE STE 116",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 UNIVERSITY OF NEW MEXICO",
"address_2": "MSC 07 4390",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87131",
"telephone_number": "505-272-4261"
}
],
"practiceLocations": [
{
"address_1": "Zablocki VAMC Emergency Department",
"address_2": "5000 W National Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532953522",
"country_code": "US",
"telephone_number": "414-384-2000 x45994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "SRMC Emergency Department",
"address_2": "3001 Broadmoor Blvd NE",
"address_purpose": "LOCATION",
"city": "Rio Rancho",
"state": "NM",
"postal_code": "87144",
"country_code": "US",
"telephone_number": "505-994-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUMMIN",
"first_name": "DAVID",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "42056-020",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036094168",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NM",
"license": "MD2023-1333",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "930091555",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036094168",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF WISCONSIN",
"identifier": "399729456001",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497702898",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "UNMH@direct.health.unm.edu",
"affiliation": "N",
"address_1": "2211 Lomas Blvd NE",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871062719",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SRMC@direct.health.unm.edu",
"affiliation": "N",
"address_1": "3001 Broadmoor Blvd NE",
"city": "Rio Rancho",
"state": "NM",
"country_code": "US",
"postal_code": "871442100",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "UNMMG@direct.health.unm.edu",
"affiliation": "N",
"address_1": "800 Bradbury Dr SE Ste 116",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871064310",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.