Michelle Cummins, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

K9250 Issued in TX

Practice address

1300 N Virginia St
Suite 112
Port Lavaca, TX 77979-2516

Phone

(361) 551-2565

Fax

(361) 551-2568

NPI assigned

Dec 9, 2005

Last updated

Jun 12, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Otolaryngology

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Citizens Medical Center Hospital, Victoria, TX, CCN 450023
• Memorial Medical Center Hospital, Port Lavaca, TX, CCN 451356

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  Care Compare affiliation
• Memorial Medical Center

  • Critical Access Hospital
  • Port Lavaca, TX
  • NPI 1689630865
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1811972185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5511",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779035511",
            "telephone_number": "361-551-2565",
            "fax_number": "361-551-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VIRGINIA ST",
            "address_2": "SUITE 112",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779792516",
            "telephone_number": "361-551-2565",
            "fax_number": "361-551-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINS",
        "first_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "K9250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029960401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "74-2951453",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX #",
            "identifier": "0016EJ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Lindsay Cobb, FNP
• Robert D Coleman, CRNA
• Gary S Cook, P.A.
• Gregory Wade Cowart, CRNA
• William J Crowley III, D.O.
• Deming Pediatrics PLLC
• Raymond P Dickey, OD
• Connor Dieringer, DPT
• Discovery Medical Network Port Lavaca LLC
• Angela Marie-Garcia Dobbins, PA-C

• Otolaryngology Physician in Port Lavaca, TX
• Providers in Port Lavaca, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.

Verify at the official NPI Registry.