Active NPI
Matthew Ryan McCulloch, M.D.
- Allergy & Immunology Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- A179031
- Practice address
- 400 Parnassus Ave
San Francisco, CA 94143-2202 - Phone
- (415) 353-2725
- NPI assigned
- Mar 31, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Allergy/Immunology Physician | 2080P0201X | DR.0063979 | CO | |
| Allergy & Immunology Physician | 207K00000X | A179031 | CA | Primary |
Addresses
Primary practice location
400 Parnassus Ave
San Francisco, CA 94143-2202
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Other practice location 1
13123 E 16th Ave
Aurora, CO 80045-7106
Phone (720) 777-2195
Other practice location 2
2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A179031 | CA | MD | Allergy & Immunology Physician |
| DR.0063979 | CO | MD | Pediatric Allergy/Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians Incorporated | Current | Accepting new patients | |
| University Physicians, Incorporated | Current | Accepting new patients | |
| Children'S Hospital Colorado | Current | Accepting new patients | |
| University Physicians Incorporated | Current | Accepting new patients |
Locations
13123 E 16th Ave
#518
Aurora, CO 80045
Phone (720) 777-1048
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
13123 E 16th Ave
#418
Aurora, CO 80045
Dept 1061
Denver, CO 80256
Interoperability endpoints
- mmcculloch225820@direct.childrenscolorado.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Aurora, CO
- NPI 1962461889
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
-
- Geriatric Medicine (Internal Medicine) Physician
- Denver, CO
- NPI 1942834262
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1275045049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1326401019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PARNASSUS AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432202",
"telephone_number": "415-353-2725"
}
],
"practiceLocations": [
{
"address_1": "13123 E 16th Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800457106",
"country_code": "US",
"telephone_number": "720-777-2195",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2301 Erwin Rd",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277054699",
"country_code": "US",
"telephone_number": "919-684-8111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCULLOCH",
"first_name": "MATTHEW",
"middle_name": "RYAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-31",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "CO",
"license": "DR.0063979",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CA",
"license": "A179031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.