Active NPI
Christopher Robert McNulty, D.O.
- Emergency Medicine Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DR.0045851
- 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, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000126932 | Medicaid | CO | |
| V109653 | Other | NV | SMA MEDICARE |
| 1083604045 | Other | NV | SMA MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0045851 | CO | MD | Family Medicine Physician |
| G8547 | TX | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of Massachusetts PC | Current | Accepting new patients | |
| American Current Care of Massachusetts PC | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Current | 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.
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1740464668
NH
-
dba Optum Colorado Springs
- General Practice Physician
- Colorado Springs, CO
- NPI 1407252828
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Wilmington, MA
- NPI 1164692844
-
dba Colorado Center for Arthritis & Osteoporosis
- Rheumatology Physician
- Boulder, CO
- NPI 1922893478
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Springfield, MA
- NPI 1174793855
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.