Individual provider Active NPI

Dennis Aloysius Cullen, MD

  • Internal Medicine Physician
  • Oxon Hill, MD
National Provider Identifier
1104988054
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0040216 Issued in MD
Practice address
6188 Oxon Hill Road
Suite 704
Oxon Hill, MD 20745-3151
Phone
(301) 839-2790
Fax
(301) 839-3042
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0040216 MD Primary
Internal Medicine Physician 207R00000X MD14432 DC

Addresses

Primary practice location

6188 Oxon Hill Road
Suite 704
Oxon Hill, MD 20745-3151

Mailing address

6188 Oxon Hill Road
Suite 704
Oxon Hill, MD 20745-3151
Phone (301) 839-2790

Other identifiers 4

IdentifierTypeStateIssuer
4293613OtherAETNA
0001OtherBCBS NATL CAPITOL AREA
41238404OtherBCBS OF MARYLAND
1462915OtherUNITED HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20110413000858 DC Practitioner - Internal Medicine 9739229774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

4910 Massachusetts Ave NW
Suite 114 Grady DC Office
Washington, DC 20016-4384
Phone (202) 686-0813

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

7625 Wisconsin Ave
Suite 101
Bethesda, MD 20814-6564
Phone (301) 951-0420

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Washington, DC, CCN 097024
  • Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149
  • Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005
  • Medstar Georgetown University Hospital Hospital, Washington, DC, CCN 090004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0040216MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jul 28, 2016 Accepting new patients
Privia Medical Group, LLC Internal Medicine CurrentSince Jul 28, 2016 Accepting new patients
Privia Care Center LLC Internal Medicine CurrentSince Oct 4, 2018 Accepting new patients
Privia Care Center LLC Internal Medicine CurrentSince Oct 4, 2018 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

7625 Wisconsin Ave
Ste 101
Bethesda, MD 20814
Phone (240) 497-1570

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

6188 Oxon Hill Rd
Ste 704
Oxon Hill, MD 20745
Phone (301) 839-2790

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dennis.cullen.1@8042.direct.athenahealth.com

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 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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104988054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL ROAD",
            "address_2": "SUITE 704",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453151",
            "telephone_number": "301-839-2790",
            "fax_number": "301-839-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL ROAD",
            "address_2": "SUITE 704",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453151",
            "telephone_number": "301-839-2790",
            "fax_number": "301-839-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "DENNIS",
        "middle_name": "ALOYSIUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0040216",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD14432",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4293613",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NATL CAPITOL AREA",
            "identifier": "0001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MARYLAND",
            "identifier": "41238404",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1462915",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

Verify at the official NPI Registry.