Active NPI
Michael Cupp, M.D.
- Urology Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 110621
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
1705 E Broadway
Suite 100
Columbia, MO 65201-7167
Phone (573) 874-7800
Hospital & facility affiliations
- Boone Hospital Center
- Macon County Samaritan Memorial Hospital
- Pershing Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri Cancer Associates LLC | Current | Accepting new patients | |
| Missouri Cancer Associates LLC | Current | Accepting new patients | |
| Curators of the University of Missouri | Past | Accepting new patients | |
| Associated Urologists, P.C. | Urology | Past | 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
- michael.cupp.1@10672.direct.athenahealth.com
- 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.
-
- Oncology Clinic/Center
- Columbia, MO
- NPI 1215947338
-
- Pharmacy
- Columbia, MO
- NPI 1992871719
-
- Urology Physician
- Columbia, MO
- NPI 1831190768
-
- Community/Retail Pharmacy
- Jefferson City, MO
- NPI 1740083641
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1902817844
-
- Critical Access Hospital
- Brookfield, MO
- NPI 1417991159
-
- Critical Access Hospital
- Macon, MO
- NPI 1548215106
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
- Laura Beth Cunningham, FNP
- Mary L Cunningham, APRN
- Milamari Antoinella Cunningham, M.D.
- Noah Brayden Cunningham, DPT
- Gerald Van Cupp, M.D.
- Curated Medicine, LLC
- Curators of the University of
- Curators of the University of Missouri
- Curators of the University of Missouri
- Curators of the University of Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.