Individual provider Active NPI

Michael Cupp, M.D.

  • Urology Physician
  • Columbia, MO
National Provider Identifier
1003820150
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
110621 Issued in MO
Practice address
105 N Keene St
Ste 201
Columbia, MO 65201-8131
Phone
(573) 499-4990
Fax
(573) 442-2120
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 110621 MO Primary

Addresses

Primary practice location

105 N Keene St
Ste 201
Columbia, MO 65201-8131

Mailing address

2801 Wickerwood CT
Columbia, MO 65201-3121
Phone (573) 999-1521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100619000150 MO Practitioner - Urology 1153323290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Missouri, Columbia School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Missouri Cancer Associates LLCGroup PAC ID 8729975305, 22 clinicians

Practice addresses (Care Compare)

1705 E Broadway
Suite 100
Columbia, MO 65201-7167
Phone (573) 874-7800

Hospital & facility affiliations

  • Boone Hospital Center Hospital, Columbia, MO, CCN 260068
  • Macon County Samaritan Memorial Hospital Hospital, Macon, MO, CCN 261313
  • Pershing Memorial Hospital Hospital, Brookfield, MO, CCN 261307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Cancer Associates LLC CurrentSince Nov 1, 2014 Accepting new patients
Missouri Cancer Associates LLC CurrentSince Nov 1, 2014 Accepting new patients
Curators of the University of Missouri Past Accepting new patients
Associated Urologists, P.C. Urology PastSince Jul 1, 1996 Accepting new patients

Locations

2372 Paysphere Cir
Chicago, IL 60674

105 N Keene St
Ste 201
Columbia, MO 65201
Phone (573) 499-4990

1705 E Broadway
Ste 100
Columbia, MO 65201
Phone (573) 874-7800

Networks

  • IL PPO Downstate
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • IA HMO C-SNP
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • IA HMO

Interoperability endpoints

  • Direct secure messaging: michael.cupp.1@10672.direct.athenahealth.com
  • Direct secure messaging: michael.cupp@urologyassociates.cernerdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1003820150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 WICKERWOOD CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013121",
            "telephone_number": "573-999-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N KEENE ST",
            "address_2": "STE 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018131",
            "telephone_number": "573-499-4990",
            "fax_number": "573-442-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPP",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "110621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.