Elizabeth Cumby, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

89-22 Issued in 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

Last updated

Jun 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Canoncito Band of Navajos Health Center, Inc.

  • Rural Health Clinic/Center
  • To'hajiilee, NM
  • NPI 1578010070

  TX

  Medicare reassignment NPD
• Kewa Pueblo Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Santo Domingo Pueblo, NM
  • NPI 1467739888

  TX

  Medicare reassignment
• Canoncito Band of Navajos Health Center, Inc

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Canoncito, NM
  • NPI 1629525605
  NPD
• Laguna Rainbow Corporation

  dba Laguna Rainbow Nursing Center

  • Skilled Nursing Facility
  • Casa Blanca, NM
  • NPI 1316926041
  NPD (past)
• Pueblo of Isleta

  dba Pueblof of Isleta EMS

  • Ambulance
  • Isleta, NM
  • NPI 1023191368
  NPD (past)
• Pueblo of Isleta

  dba Isleta Health Center

  • Clinic/Center
  • Isleta, NM
  • NPI 1194738328
  NPD (past)
• Pueblo of Isleta

  dba Pueblo of Isleta Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Isleta, NM
  • NPI 1407979008
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1962591669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CASA BLANCA RD",
            "address_2": "PO BOX 490",
            "city": "CASA BLANCA",
            "state": "NM",
            "postal_code": "870071071",
            "telephone_number": "505-552-6034",
            "fax_number": "505-552-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 MEDICINE HORSE DR.",
            "address_2": "PO BOX 3338",
            "city": "TOHAJIILEE",
            "state": "NM",
            "postal_code": "870263338",
            "telephone_number": "505-908-2307",
            "fax_number": "505-908-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMBY",
        "first_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "89-22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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, RN BSN
• Tyrone Etsitty
• Judith Gould, RN
• Mariah Kayla Jake

• Family Medicine Physician in To'hajiilee, NM
• Providers in To'hajiilee, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; 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.

Verify at the official NPI Registry.