Active NPI
Madeline Casie Kumm, PA-C
- Physician Assistant
- Farmington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 006713
- Practice address
- 263 Farmington Ave
Farmington, CT 06030 - Phone
- (860) 679-8080
- Fax
- (860) 679-1430
- NPI assigned
- Mar 1, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 026420 | NY | |
| Physician Assistant | 363A00000X | 006713 | CT | Primary |
Addresses
Primary practice location
263 Farmington Ave
Farmington, CT 06030
Mailing address
263 Farmington Ave
Farmington, CT 06030-8082
Phone (860) 679-8080
Other practice location 1
7901 Broadway
Elmhurst, NY 11373-1329
Phone (718) 334-2772
Other practice location 2
5 Munson Road
Farmington, CT 06030
Phone (860) 679-8080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026420 | NY | MD | Occupational Therapist |
| 006713 | CT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Connecticut Health Center | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| University of Connecticut Health Center | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| University of Connecticut Health Center | Past | Accepting new patients |
Locations
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
5 Munson Rd
Farmington, CT 06032
Phone (860) 679-4888
13620 38th Ave
Ste 5F
Flushing, NY 11354
Phone (347) 909-7041
7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156
8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929
50 Water St
Fl 3
New York, NY 10004
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
1010 N Broadway
Yonkers, NY 10701
Phone (914) 968-3535
Interoperability endpoints
- mkumm1692908@nychhc.direct-ci.com
- mkumm82507@direct.med.uchc.edu
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 and National Provider Directory roles.
-
- General Practice Physician
- Farmington, CT
- NPI 1720083769
-
- Neurological Surgery Physician
- New York, NY
- NPI 1497029581
-
- Clinic/Center
- New York, NY
- NPI 1548208127
-
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1104809375
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Clinic/Center
- Bronx, NY
- NPI 1003824608
-
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- Clinical Medical Laboratory
- Farmington, CT
- NPI 1427031293
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Middletown, CT
- NPI 1154263713
-
- General Acute Care Hospital
- Farmington, CT
- NPI 1669466561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1780278812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060308082",
"telephone_number": "860-679-8080",
"fax_number": "860-679-1430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "06030",
"telephone_number": "860-679-8080",
"fax_number": "860-679-1430"
}
],
"practiceLocations": [
{
"address_1": "7901 Broadway",
"address_purpose": "LOCATION",
"city": "Elmhurst",
"state": "NY",
"postal_code": "113731329",
"country_code": "US",
"telephone_number": "718-334-2772",
"fax_number": "718-334-5006",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5 Munson Road",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "06030",
"country_code": "US",
"telephone_number": "860-679-8080",
"fax_number": "860-679-1430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUMM",
"first_name": "MADELINE",
"middle_name": "CASIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-01",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "026420",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "006713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.