DANIEL MARSHALL CUMMINS M.D., D.M.D
NPI 1619209939
Oral & Maxillofacial Surgery in Metairie, LA

Active since February 11, 2010PECOS EnrolledAccepts Medicare Assignment
4224 HOUMA BLVD, SUITE 670, METAIRIE, LA 70006(504) 456-5033 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 1, 2021, Aug 30, 2016 (2 updates tracked since 2016).

About Daniel Marshall Cummins M.d., D.m.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL MARSHALL CUMMINS M.D., D.M.D (NPI 1619209939) is an individual oral & maxillofacial surgery provider in Metairie, Louisiana, licensed in Louisiana (303430) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1619209939
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDANIEL MARSHALL CUMMINSCredential: M.D., D.M.D
Location Address4224 HOUMA BLVD, SUITE 670Metairie, LA 70006-2933
Mailing Address4224 Houma Blvd, Suite 670Metairie, LA 70006-2933 · (504) 456-5033
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 11, 2010
Last NPPES UpdateDecember 1, 20212 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
✔ NPI 1619209939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in LA · 303430
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 6044 (LA)
4224 HOUMA BLVD, Metairie, LA 70006

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniel Marshall Cummins M.d., D.m.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365726841
PECOS Enrollment IDI20191003002144
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Daniel Cummins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
4224 HOUMA BLVD, SUITE 140
METAIRIE, LA 70006
Urology
4224 HOUMA BLVD, SUITE 600
METAIRIE, LA 70006
Specialist
4224 HOUMA BLVD, STE 620
METAIRIE, LA 70006
Orthopaedic Surgery
4224 HOUMA BLVD, SUITE 650
METAIRIE, LA 70006
Internal Medicine (Clinical Cardiac Electrophysiology)
4224 HOUMA BLVD, STE 300
METAIRIE, LA 70006
Surgery
4224 HOUMA BLVD, NUMBER 425
METAIRIE, LA 70006
Specialist
4224 HOUMA BLVD, SUITE 270
METAIRIE, LA 70006
Specialist
4224 HOUMA BLVD, SUITE 500
METAIRIE, LA 70006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Cummins's NPI number?

The NPI number for Daniel Cummins is 1619209939. It was assigned to this individual provider in the NPPES registry on February 11, 2010.

Where is Daniel Cummins located?

Daniel Cummins practices at 4224 Houma Blvd Suite 670, Metairie, LA 70006. The listed phone number is (504) 456-5033.

What is Daniel Cummins's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Daniel Cummins enrolled in Medicare?

Yes. Daniel Cummins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Daniel Cummins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Cummins reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Cummins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Cummins accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Daniel Cummins as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daniel Cummins was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.