THOMAS D CUMMINS M.D.
NPI 1235146028
Plastic Surgery in Louisville, KY
NPI Status: Active since August 02, 2006
Contact Information
6002 BROWNSBORO PARK BLVD
SUITE E
LOUISVILLE, KY
ZIP 40207
Phone: (502) 897-1441
Fax: (502) 897-3234
- Individual
- Male
- Plastic Surgery
- Accepts Insurance
About THOMAS CUMMINS
This page provides the complete NPI Profile along with additional information for Thomas Cummins, a provider established in Louisville, Kentucky with a medical specialization in Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1235146028 assigned on August 2006. The practitioner's primary taxonomy code is 208200000X with license number 26468 (KY). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1235146028
- Provider Name
- THOMAS D CUMMINS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6002 BROWNSBORO PARK BLVD SUITE E LOUISVILLE, KY 40207
- Location Phone
- (502) 897-1441
- Location Fax
- (502) 897-3234
- Mailing Address
- 516 BLANKENBAKER LN LOUISVILLE, KY 40207
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-02-2006
- Last Update Date
- 05-12-2015
- 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
Plastic Surgery
- Taxonomy Code
- 208200000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 26468
- License State
- KY
- Taxonomy Description
- A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2082S0105X | Allopathic & Osteopathic Physicians | Plastic Surgery | 26468 (KY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
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.
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 |
|---|---|---|---|
| 1052957 | OTHER (01) | KY | PASSPORT HEALTH (INDIVID) |
| 000000051549 | OTHER (01) | ANTHEM BCBS | |
| 1052955 | OTHER (01) | KY | PASSPORT HEALTH (GROUP) |
| E07411 | MEDICARE UPIN (02) | KY | |
| 64264682 | MEDICAID (05) | KY | |
| 00527001 | MEDICARE PIN (08) |
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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 1235146028, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
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 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
LOUISVILLE, KY 40207
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235146028, enumerated as an "individual" on August 02, 2006.
The provider is located at 6002 BROWNSBORO PARK BLVD SUITE E LOUISVILLE, KY 40207 and the phone number is (502) 897-1441.
Plastic Surgery with taxonomy code 208200000X.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
