Individual provider Active NPI

Jessica Welda McCullough, M.D.

  • Obstetrics & Gynecology Physician
  • Littleton, CO
National Provider Identifier
1245430263
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
50048 Issued in CO
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

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120330000361 CO Practitioner - Obstetrics/Gynecology 7315107216 Reassigns benefits to 1 organization

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
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
50048COMDObstetrics & Gynecology Physician
LL30093SCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Mar 1, 2014 Accepting new patients
Portercare Adventist Health System CurrentSince Mar 1, 2014 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.