Individual provider Active NPI

Christopher L Cullum, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cincinnati, OH
National Provider Identifier
1275988578
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
59.000623 Issued in OH
Practice address
11821 Mason Montgomery Rd # 4B
Cincinnati, OH 45249-3705
Phone
(513) 489-2400
Fax
(513) 489-2455
NPI assigned
Apr 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 59.000623 OH Primary

Addresses

Primary practice location

11821 Mason Montgomery Rd # 4B
Cincinnati, OH 45249-3705

Mailing address

11821 Mason Montgomery Rd Ste 4B
Cincinnati, OH 45249-3705
Phone (513) 489-2400

Other practice location 1

8111 Cheviot Rd Ste 100
Cincinnati, OH 45247-4013
Phone (513) 489-2400

Other practice location 2

4777 E Galbraith Rd
Cincinnati, OH 45236-2725
Phone (513) 686-3233

Other identifiers 1

IdentifierTypeStateIssuer
27-1408630OtherOHJEWISH HOSPITAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200623002442 OH Practitioner - Podiatry 9830511757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Surestep Foot and Ankle Medical Center LLCGroup PAC ID 3476677865, 5 clinicians

Practice addresses (Care Compare)

11821 Mason Montgomery Rd
Cincinnati, OH 45249-3705
Phone (513) 489-2400

8111 Cheviot Rd
Suite 100
Cincinnati, OH 45247-4013
Phone (513) 489-2400

Hospital & facility affiliations

  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Jewish Hospital-Mercy Health Inpatient rehabilitation facility, Cincinnati, OH, CCN 36T016
  • Mercy Hospital Fairfield Inpatient rehabilitation facility, Fairfield, OH, CCN 36T056

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue167
Removal of skin lesions1-10
Removal of nail tissue291
Removal or shaving of skin growth168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59.000623OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Surestep Foot & Ankle Medical Center, LLC Foot & Ankle Surgery CurrentSince Mar 25, 2020 Accepting new patients
Surestep Foot & Ankle Medical Center LLC Foot & Ankle Surgery CurrentSince Mar 25, 2020 Accepting new patients

Locations

11821 Mason Montgomery Rd
#4B
Cincinnati, OH 45249
Phone (513) 489-2400

8111 Cheviot Rd
Ste 100
Cincinnati, OH 45247
Phone (513) 385-6946

8111 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 489-2400

11821 Mason Montgomery Rd
Ste 1
Cincinnati, OH 45249
Phone (513) 489-2400

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

11821 Mason Montgomery Rd
Ste 4B
Cincinnati, OH 45249
Phone (513) 489-2400

6770 Cincinnati Dayton Rd
Ste 201
Liberty Township, OH 45044
Phone (513) 489-2400

7344 Hamilton Ave
Mount Healthy, OH 45231
Phone (513) 931-1043

Organizations & group practices 2

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 6

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": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1275988578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11821 MASON MONTGOMERY RD STE 4B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452493705",
            "telephone_number": "513-489-2400",
            "fax_number": "513-489-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 MASON MONTGOMERY RD # 4B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452493705",
            "telephone_number": "513-489-2400",
            "fax_number": "513-489-2455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8111 Cheviot Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452474013",
            "country_code": "US",
            "telephone_number": "513-489-2400",
            "fax_number": "513-489-2455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4777 E Galbraith Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452362725",
            "country_code": "US",
            "telephone_number": "513-686-3233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLUM",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-25",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "59.000623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JEWISH HOSPITAL",
            "identifier": "27-1408630",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.