Active NPI
Troy Cummens, D.O.
- Anesthesiology Physician
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- OP00002269
- Practice address
- 104 W 5TH Ave Ste 230E
Spokane, WA 99204-4808 - Phone
- (509) 838-8561
- NPI assigned
- Oct 16, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | UO862 | FL | |
| Anesthesiology Physician | 207L00000X | OP00002269 | WA | Primary |
Addresses
Primary practice location
104 W 5TH Ave Ste 230E
Spokane, WA 99204-4808
Mailing address
104 W 5TH Ave Ste 230E
Spokane, WA 99204-4808
Phone (509) 838-8561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8485922 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120716000375 | UT | Practitioner - Anesthesiology | 6709978257 | Reassigns benefits to 2 organizations |
| I20240906003185 | VA | Practitioner - Anesthesiology | 6709978257 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Davis Anesthesiology LLCMountain West Anesthesia LLC
Practice addresses (Care Compare)
1600 W Antelope Dr
Layton, UT 84041-1142
Phone (801) 807-7140
3895 Harrison Blvd
Suite 200
Ogden, UT 84403-2315
Phone (801) 387-3600
Hospital & facility affiliations
- Holy Cross Hospital-Davis
- Intermountain Health McKay-Dee Hospital
- Intermountain Health Layton Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UO862 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Davis Anesthesiology LLC | Anesthesiology | Current | Accepting new patients |
| Mountain West Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Medstream Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Physician Anesthesia Group PS | Anesthesiology | Past | Accepting new patients |
Locations
1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000
3895 Harrison Blvd
Ste 200
Ogden, UT 84403
Phone (385) 470-3660
150 W Civic Center Dr
Ste 200
Sandy, UT 84070
Phone (801) 727-2056
4401 Harrison Blvd
South Ogden, UT 84403
Phone (801) 387-2800
142 S Main St
Danville, VA 24541
Phone (434) 799-2100
6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Layton, UT
- NPI 1679525901
Anesthesiology, UT
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1497835698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 W 5TH AVE STE 230E",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992044808",
"telephone_number": "509-838-8561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W 5TH AVE STE 230E",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992044808",
"telephone_number": "509-838-8561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMENS",
"first_name": "TROY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "UO862",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "OP00002269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8485922",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.