Elizabeth Cumby, MD
Individual provider Active NPI Family Medicine Physician · Tohajiilee, NM
NPI 1962591669 · NPPES record last updated Jun 6, 2017
Key facts
- NPI
- 1962591669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 89-22 (NM)
- Practice address
- 129 Medicine Horse Dr.
PO Box 3338
Tohajiilee, NM 87026-3338 - Phone
- (505) 908-2307
- Fax
- (505) 908-2310
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120315000808 | TX | Practitioner - Family Practice | 4587565403 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canoncito Band of Navajos Health Center, Inc | Current | Accepting new patients | |
| Canoncito Band of Navajos Health Center, Inc. | Current |
Accepting new patients | |
| Pueblo of Isleta | Past | Accepting new patients | |
| Laguna Rainbow Corporation | Past | Accepting new patients | |
| Pueblo of Isleta | Past | Accepting new patients | |
| Pueblo of Isleta | Past | Accepting new patients | |
| Kewa Pueblo Health Corporation | Past | Accepting new patients |
Locations
129 Medicine Horse Dr
Tohajiilee, NM 87026
Phone (505) 908-2307
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 89-22 | NM | Yes |
Addresses
Primary practice location
129 Medicine Horse Dr.
PO Box 3338
Tohajiilee, NM 87026-3338
Mailing address
240 Casa Blanca Rd
PO Box 490
Casa Blanca, NM 87007-1071
Phone (505) 552-6034
Other providers in Tohajiilee, NM
- Alfred B Benalli
- Canoncito Band of Navajo Health Center, Inc
- Canoncito Band of Navajos Health Center
- Canoncito Band of Navajos Health Center, Inc.
- Canoncito Band of Navajos Health Center, Inc.
- Raelene J Danny
- Brennia Delacruz
- Tyrone Etsitty
- Judith Gould
- Mariah Kayla Jake
All providers in Tohajiilee, NM · Family Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.