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DR. DONELLE LESLIE CUMMINGS M.D.
NPI 1649539552
Internal Medicine - Gastroenterology in New York, NY

Active since May 11, 2012PECOS EnrolledAccepts Medicare Assignment
1056 5TH AVE # 1CD, NEW YORK, NY 10028(646) 410-0702(646) 410-0739 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Donelle Leslie Cummings M.d. NPPES

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

DR. DONELLE LESLIE CUMMINGS M.D. (NPI 1649539552) is an individual gastroenterology provider in New York, New York, licensed in New York (293340) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Lenox Hill Hospital, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2012).

NPPES Registry Identity

NPI1649539552
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. DONELLE LESLIE CUMMINGSCredential: M.D.
Location Address1056 5TH AVE # 1CDNew York, NY 10028-0112
Mailing Address1056 5th Ave # 1cdNew York, NY 10028-0112 · (646) 410-0702 · Fax (646) 410-0739
Phone(646) 410-0702
Fax(646) 410-0739
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2012
Enumeration DateMay 11, 2012
Last NPPES UpdateApril 15, 2026
NPPES CertifiedApril 15, 2026
✔ NPI 1649539552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 293340
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1056 5TH AVE # 1CD, New York, NY 10028
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Donelle Leslie Cummings 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 ID3870731524
PECOS Enrollment IDI20210401000209
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lenox Hill Hospital

Acute Care Hospitals · New York, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330119
Location100 East 77th StreetNew York, NY 10021 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Donelle Cummings's NPI number?

The NPI number for Donelle Cummings is 1649539552. It was assigned to this individual provider in the NPPES registry on May 11, 2012.

Where is Donelle Cummings located?

Donelle Cummings practices at 1056 5th Ave # 1cd, New York, NY 10028. The listed phone number is (646) 410-0702.

What is Donelle Cummings's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Donelle Cummings enrolled in Medicare?

Yes. Donelle Cummings 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.

Is Donelle Cummings affiliated with any hospitals?

According to CMS data, Donelle Cummings is affiliated with Lenox Hill Hospital.

When was this NPI record last updated?

The NPPES record for Donelle Cummings was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.