Craig Cummins, M.D.
Craig Cummins, M.D. is a Sports Medicine (Orthopaedic Surgery) Physician in Barrington, IL, registered under NPI 1588650006.
Getting there
The practice address on file is 27401 W HIGHWAY 22 STE 125, Barrington, IL 60010. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 036-101852 | IL | Sports Medicine (Orthopaedic Surgery)… primary |
This provider holds licence 036-101852 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Sports Medicine
- PAC ID
- 0547262206
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Illinois | I20070208000377 | Practitioner - Sports Medicine |
| Wisconsin | I20230221000235 | Practitioner - Sports Medicine |
Medicare enrolment is recorded as approved under the provider type Practitioner - Sports Medicine. There are 2 separate enrolment records across 2 states (IL, WI). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Sports Medicine covers
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. NUCC Health Care Provider Taxonomy, code 207XX0005X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1588650006 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Sep 20, 2005 |
| Last updated | Mar 29, 2018 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D. |
| Practice address |
27401 W HIGHWAY 22 STE 125 Barrington, IL 60010 (847) 381-0388 Fax (847) 381-0811 |
| Mailing address |
900 RAND RD STE 300 Des Plaines, IL 60016 |
| Other identifiers |
036101852
· Medicaid (IL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 8 | 8 | 6 | 5 | 0 | 0 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 7 | 8 | 3 | 5 | 0 | 0 | 0 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.