Active NPI
Kelly P. Cummings, P.A.
- Physician Assistant
- Parkersburg, WV
National Provider Identifier
1841261815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA580
- Practice address
- 2311 Ohio Ave
Parkersburg, WV 26101-2559 - Phone
- (304) 422-5114
- Fax
- (304) 422-5751
- NPI assigned
- Jan 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA580 | KY | Primary |
Addresses
Primary practice location
2311 Ohio Ave
Parkersburg, WV 26101-2559
Mailing address
2311 Ohio Ave
Parkersburg, WV 26101-2559
Phone (304) 422-5114
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000332377 | Other | KY | BLUECROSS BLUESHIELD |
| 95690046 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 388 | WV | MD | Cognitive & Behavioral Psychologist |
| PA580 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pars Neurosurgical Associates, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neurological Surgery Physician
- Parkersburg, WV
- NPI 1457396152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334016000000",
"number": "1841261815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 OHIO AVE",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261012559",
"telephone_number": "304-422-5114",
"fax_number": "304-422-5751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 OHIO AVE",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261012559",
"telephone_number": "304-422-5114",
"fax_number": "304-422-5751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINGS",
"first_name": "KELLY",
"middle_name": "P.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2012-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA580",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "000000332377",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95690046",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.