Individual provider Active NPI

Russell Orville Cummings Jr., MD

  • Surgery Physician
  • Columbia, LA
National Provider Identifier
1528057114
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
013602 Issued in LA
Practice address
484 Collins Rd
Columbia, LA 71418-3388
Phone
(318) 649-5300
Fax
(318) 649-0052
NPI assigned
Oct 17, 2005
Last updated
Nov 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 013602 LA Primary

Addresses

Primary practice location

484 Collins Rd
Columbia, LA 71418-3388

Mailing address

484 Collins Rd
Columbia, LA 71418-3388
Phone (318) 649-5300

Other identifiers 1

IdentifierTypeStateIssuer
1312053MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20080409000283 LA Practitioner - General SurgeryPractitioner - General Practice 3577640911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: General Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

484 Collins Rd
Columbia, LA 71418-3388
Phone (318) 649-5300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy17
Upper gastrointestinal (GI) endoscopy for acid reflux13
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13602LAMDPharmacist
013602LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No. 1 of Caldwell Parish CurrentSince Jan 8, 2010 Accepting new patients
Hospital Service District No. 1 Caldwell Parish CurrentSince Jan 8, 2010 Accepting new patients

Locations

484 Collins Rd
Columbia, LA 71418
Phone (314) 649-5300

484 Collins Rd
#A
Columbia, LA 71418
Phone (318) 649-5300

554 Collins Rd
Columbia, LA 71418
Phone (318) 649-5300

Interoperability endpoints

  • Direct secure messaging: rcummings@cmchosp.securechart.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1528057114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 COLLINS RD",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "714183388",
            "telephone_number": "318-649-5300",
            "fax_number": "318-649-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 COLLINS RD",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "714183388",
            "telephone_number": "318-649-5300",
            "fax_number": "318-649-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "RUSSELL",
        "middle_name": "ORVILLE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "013602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1312053",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, LA

Sources for this page

Verify at the official NPI Registry.