Individual provider Active NPI

Troy Cummens, D.O.

  • Anesthesiology Physician
  • Spokane, WA
National Provider Identifier
1497835698
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OP00002269 Issued in WA
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

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8485922MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 5395793905, 12 clinicians
Mountain West Anesthesia LLCGroup PAC ID 9032018502, 267 clinicians

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 Hospital, Layton, UT, CCN 460041
  • Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004
  • Intermountain Health Layton Hospital Hospital, Layton, UT, CCN 460061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UO862FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Davis Anesthesiology LLC Anesthesiology CurrentSince Jan 1, 2017 Accepting new patients
Mountain West Anesthesia LLC Anesthesiology CurrentSince Aug 30, 2025 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Aug 27, 2024 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.

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

Verify at the official NPI Registry.