Individual provider Active NPI

Christopher Robert McNulty, D.O.

  • Emergency Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1083604045
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0045851 Issued in CO
Practice address
1633 Medical Center Point
Colorado Springs, CO 80907
Phone
(719) 636-2999
Fax
(719) 667-4105
NPI assigned
Oct 21, 2005
Last updated
Aug 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DR.0045851 CO Primary
Family Medicine Physician 207Q00000X DO1926 NV
Family Medicine Physician 207Q00000X DR.0045851 CO
Adult Medicine Physician 207QA0505X G8547 TX

Addresses

Primary practice location

1633 Medical Center Point
Colorado Springs, CO 80907

Mailing address

2 South Cascade Avenue
Suite 140
Colorado Springs, CO 80903-1604
Phone (719) 538-2900

Other identifiers 3

IdentifierTypeStateIssuer
9000126932MedicaidCO
V109653OtherNVSMA MEDICARE
1083604045OtherNVSMA MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MA, NH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080218000105 CO Practitioner - Family PracticePractitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 5092898866 Reassigns benefits to 1 organization
I20240613004234 MA Practitioner - General Practice 5092898866 Reassigns benefits to 1 organization
I20240909002958 NH Practitioner - Family Practice 5092898866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

1 Pillsbury St
Concord, NH 03301-3556
Phone (603) 223-2300

1279 S Willow St
Manchester, NH 03103-4015
Phone (603) 644-3330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Physician Assistant

State licenses

LicenseStateTypeSpecialty
DR.0045851COMDFamily Medicine Physician
G8547TXMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Massachusetts PC CurrentSince Jun 3, 2024 Accepting new patients
American Current Care of Massachusetts PC CurrentSince Jun 3, 2024 Accepting new patients
American Current Care P.a. CurrentSince Jul 8, 2024 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Aug 22, 2016 Accepting new patients
American Current Care PA CurrentSince Jul 8, 2024 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Aug 22, 2016 Accepting new patients
Uch-MHS Past Accepting new patients

Locations

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

1633 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 636-2999

2 S Cascade Ave
Ste 140
Colorado Springs, CO 80903
Phone (719) 538-2900

140 Carando Dr
Springfield, MA 01104
Phone (413) 746-4006

66B Concord St
Wilmington, MA 01887
Phone (978) 657-3826

1 Pillsbury St
Concord, NH 03301
Phone (603) 223-2300

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1083604045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SOUTH CASCADE AVENUE",
            "address_2": "SUITE 140",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031604",
            "telephone_number": "719-538-2900",
            "fax_number": "719-538-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 MEDICAL CENTER POINT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80907",
            "telephone_number": "719-636-2999",
            "fax_number": "719-667-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNULTY",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0045851",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO1926",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0045851",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "G8547",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000126932",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SMA MEDICARE",
            "identifier": "V109653",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SMA MEDICAID",
            "identifier": "1083604045",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.