Active NPI
Jessica Welda McCullough, M.D.
- Obstetrics & Gynecology Physician
- Littleton, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 50048
- Practice address
- 7720 S Broadway
Ste 350
Littleton, CO 80122-2632 - Phone
- (720) 922-6240
- Fax
- (720) 922-6241
- NPI assigned
- Jul 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | LL30093 | SC | |
| Obstetrics & Gynecology Physician | 207V00000X | 50048 | CO | Primary |
Addresses
Primary practice location
7720 S Broadway
Ste 350
Littleton, CO 80122-2632
Mailing address
7720 S Broadway
Ste 350
Littleton, CO 80122-2632
Phone (720) 922-6240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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
- Obstetrics/Gynecology
- Education
- University of South Carolina School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797
7720 S Broadway
Littleton, CO 80122-2634
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.96 of 100
- Quality
- 78.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.61
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50048 | CO | MD | Obstetrics & Gynecology Physician |
| LL30093 | SC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Past | Accepting new patients | |
| Portercare Adventist Health System | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650
7720 S Broadway
Ste 350
Littleton, CO 80122
Phone (720) 528-3559
7720 S Broadway
Ste 250
Littleton, CO 80122
Phone (720) 922-6240
Interoperability endpoints
- jmccullough1862564@adventhealth.direct-ci.com
Organizations & group practices 5
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.
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- Orthopaedic Surgery of the Spine Physician
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- NPI 1174132690
-
- Urology Physician
- Lakewood, CO
- NPI 1942165626
-
- General Acute Care Hospital
- Littleton, CO
- NPI 1689688988
-
- Obstetrics & Gynecology Physician
- Aurora, CO
- NPI 1811289366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1245430263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7720 S BROADWAY",
"address_2": "STE 350",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801222632",
"telephone_number": "720-922-6240",
"fax_number": "720-922-6241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7720 S BROADWAY",
"address_2": "STE 350",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801222632",
"telephone_number": "720-922-6240",
"fax_number": "720-922-6241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLOUGH",
"first_name": "JESSICA",
"middle_name": "WELDA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-18",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "LL30093",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CO",
"license": "50048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.