DR. KAREN CHRISTINE CUMMISKEY M.D.
NPI 1235127911
Specialist in Grand Rapids, MI
NPI Status: Active since October 07, 2005
Contact Information
1000 E PARIS AVE SE
SUITE 210
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 285-3310
Fax: (616) 285-3266
- Individual
- Female
- Specialist
- Accepts Insurance
- PECOS Enrolled
About KAREN CUMMISKEY
This page provides the complete NPI Profile along with additional information for Karen Cummiskey, a provider established in Grand Rapids, Michigan with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1235127911 assigned on October 2005. The practitioner's primary taxonomy code is 174400000X with license number 4301062865 (MI). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1235127911
- Provider Name
- DR. KAREN CHRISTINE CUMMISKEY M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1000 E PARIS AVE SE SUITE 210 GRAND RAPIDS, MI 49546
- Location Phone
- (616) 285-3310
- Location Fax
- (616) 285-3266
- Mailing Address
- 1000 E PARIS AVE SE SUITE 210 GRAND RAPIDS, MI 49546
- Mailing Phone
- (616) 285-3310
- Mailing Fax
- (616) 285-3266
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-07-2005
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 4301062865
- License State
- MI
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MHP Bronze - HMO
- MHP Bronze Saver (Expanded) - HMO
- MHP Expanded Bronze Standard - HMO
- MHP Gold - HMO
- MHP Gold Standard - HMO
- MHP Silver Exchange - HMO
- MHP Silver Exchange Rewards - HMO
- MHP Silver Standard - HMO
- MHP Young Adult/Catastrophic - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3047440 | MEDICAID (05) | MI | |
| C43237 | MEDICARE UPIN (02) | MI |
Medicare Participation & PECOS Enrollment Status
Karen Cummiskey is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. KAREN CHRISTINE CUMMISKEY M.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1235127911, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235127911, enumerated as an "individual" on October 07, 2005.
The provider is located at 1000 E PARIS AVE SE SUITE 210 GRAND RAPIDS, MI 49546 and the phone number is (616) 285-3310.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: McLaren Health Plan Community, Priority Health,. Please consult your insurance carrier or call the provider to verify.
