Dr Donelle Leslie Cummings, MD - Medicare Gastroenterology in New York, NY

Dr Donelle Leslie Cummings, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in New York, New York. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2012 and has 14 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice East Side Medical Pc and his current practice location is 1056 5th Ave # 1cd, New York, New York. You can reach out to his office (for appointments etc.) via phone at (646) 410-0702.

Dr Donelle Leslie Cummings is licensed to practice in New York (license number 293340) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649539552.

Contact Information

Dr Donelle Leslie Cummings, MD
1056 5th Ave # 1cd,
New York, NY 10028-0112
(646) 410-0702
(646) 410-0739

Map and Direction




Physician's Profile

Full NameDr Donelle Leslie Cummings
GenderMale
SpecialityGastroenterology
Experience14 Years
Location1056 5th Ave # 1cd, New York, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Donelle Leslie Cummings attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2012
  NPI Data:
  • NPI Number: 1649539552
  • Provider Enumeration Date: 05/11/2012
  • Last Update Date: 04/15/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3870731524
  • Enrollment ID: I20210401000209

Medical Identifiers

Medical identifiers for Dr Donelle Leslie Cummings such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649539552NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 293340 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lenox Hill HospitalNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
East Side Medical Pc60029852565

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Donelle Leslie Cummings allows following entities to bill medicare on his behalf.
Entity NameEast Side Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992993430
PECOS PAC ID: 6002985256
Enrollment ID: O20080514000658
Entity NameMetropolitan Medical Practice Plan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306138383
PECOS PAC ID: 8022286384
Enrollment ID: O20110713000171
Entity NamePhysician Affiliate Group Of New York Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013375526
PECOS PAC ID: 4688098833
Enrollment ID: O20200721001270

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Donelle Leslie Cummings is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Donelle Leslie Cummings, MD
1056 5th Ave # 1cd,
New York, NY 10028-0112

Ph: (646) 410-0702
Dr Donelle Leslie Cummings, MD
1056 5th Ave # 1cd,
New York, NY 10028-0112

Ph: (646) 410-0702

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.