Kelly Cummings, M.D.
NPI 1104212604 · Internal Medicine Physician · New York, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Cummings, M.D. is a Internal Medicine Physician provider in New York, NY (NPI 1104212604).
Provider details
- NPI number
- 1104212604
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 294062 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,186 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 605 | $91 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 152 | $19 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 109 | $167 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 100 | $113 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 90 | $151 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Rosuvastatin Calcium | 28 | — |
| Amlodipine Besylate | 25 | — |
| Atorvastatin Calcium | 23 | 12 |
| Apixabanbrand: Eliquis | 22 | — |
| Metformin Hclbrand: Metformin Hcl Er | 20 | — |
| Mirtazapine | 19 | — |
Practice location
Mailing address
Additional practice locations (1)
- Dept of Medicine Hsc Level 16Suny Stony Brook HospitalStony Brook, NY 11794-0001Phone: (631) 444-2058Fax: (631) 444-2493
Registry dates
- Enumerated
- 2015-04-10
- Last updated
- 2020-10-19
- Certified
- 2020-10-19
Frequently asked questions
- What is Kelly Cummings's NPI number?
- Kelly Cummings's National Provider Identifier (NPI) is 1104212604, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Cummings's specialty?
- Kelly Cummings is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kelly Cummings located?
- Kelly Cummings's practice location on file with NPPES is 525 East 68th Street, New York, NY 10065.
- What is Kelly Cummings's phone number?
- The practice phone number listed in the NPPES registry for Kelly Cummings is (212) 746-7000.
- Does Kelly Cummings accept Medicare?
- Kelly Cummings is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Cummings's NPI active?
- Yes — Kelly Cummings's NPI (1104212604) is active in the NPPES registry as of the last update on 2020-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.