Johanna Lynn McCullagh, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

04-31432 Issued in KS

Practice address

4320 Wornall Rd
Suite 208
Kansas City, MO 64111-5941

Phone

(816) 531-0552

Fax

(816) 756-2503

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS, MO2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

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.

• Saint Luke'S Hospital of Trenton

  • Critical Access Hospital
  • Trenton, MO
  • NPI 1841274057
  Medicare reassignment NPD
• Saint Luke'S Physician Group Inc

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1093263717

  Internal Medicine

  Medicare reassignment NPD
• Saint Lukes Hospital of Chillicothe

  • Emergency Medicine Physician
  • Chillicothe, MO
  • NPI 1245433127
  Medicare reassignment NPD
• Western Missouri Medical Center

  • General Acute Care Hospital
  • Warrensburg, MO
  • NPI 1083601330
  Medicare reassignment NPD
• Saint Lukes Hospital of Garnett Inc

  • General Practice Physician
  • Garnett, KS
  • NPI 1619901725
  Medicare reassignment NPD
• Kansas City Kidney Consultants, PA

  • Nephrology Physician
  • Kansas City, MO
  • NPI 1164528626

  KS

  Medicare reassignment
• Saint Luke'S Hospital of Trenton

  • Emergency Medicine Physician
  • Trenton, MO
  • NPI 1851572234
  NPD
• Saint Luke'S Hospital of Trenton

  • Rural Health Clinic/Center
  • Princeton, MO
  • NPI 1962877514
  NPD
• Saint Lukes Hospital of Chillicothe

  • Medicare Defined Swing Bed Hospital Unit
  • Chillicothe, MO
  • NPI 1881638203
  NPD
• Western Missouri Medical Center

  • Dermatology Physician
  • Warrensburg, MO
  • NPI 1144103029
  NPD
• Saint Lukes Hospital of Garnett Inc

  • Rural Health Clinic/Center
  • Colony, KS
  • NPI 1487075586
  NPD
• Ascentist Physicians Group, LLC

  • Otolaryngology Physician
  • Lees Summit, MO
  • NPI 1649206319
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1164569661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 WORNALL RD",
            "address_2": "SUITE 208",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115941",
            "telephone_number": "816-531-0552",
            "fax_number": "816-756-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WORNALL RD",
            "address_2": "SUITE 208",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115941",
            "telephone_number": "816-531-0552",
            "fax_number": "816-756-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLAGH",
        "first_name": "JOHANNA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0431432",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KS",
            "license": "04-31432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KSLICENSE",
            "identifier": "04-31432",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McCrite Plaza at Briarcliff, LLC
• McCrite Retirement Association
• Lakiesha Latoshia McCrorey, LCSW
• Lauren McCroskie, DO
• Meggan L McCue, AA
• Dawna McCulloch, MD
• Scott W McCulloch, MD
• Russell James McCulloh, MD
• Alicia D McCullough, DO
• Jennifer Lynn McCullough, MD

• Nephrology Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Nephrology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.