Individual provider Active NPI

Craig R Hullett, M.D.

  • Radiation Oncology Physician
  • Glendale, AZ
National Provider Identifier
1366887523
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
58602 Issued in AZ
Practice address
6525 W Sack Dr Ste 105
Glendale, AZ 85308-7106
Phone
(623) 888-5400
NPI assigned
May 1, 2013
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 58602 AZ Primary

Addresses

Primary practice location

6525 W Sack Dr Ste 105
Glendale, AZ 85308-7106

Mailing address

PO Box 910221
Dallas, TX 75391-0221
Phone (520) 519-7700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chullett670653@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, AZ2 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

Enrollment IDStateProvider typePAC IDDetails
I20160815000409 WI Practitioner - Radiation Oncology 7214150044 Reassigns benefits to 1 organization
I20220120001410 AZ Practitioner - Radiation Oncology 7214150044 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Arizona College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of Hope Medical Group of Arizona LLCGroup PAC ID 2264593474, 159 clinicians

Practice addresses (Care Compare)

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (623) 207-3000

7337 E 2ND St
Scottsdale, AZ 85251-5603
Phone (480) 278-8300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Center for Hematology and Oncology, PLC CurrentSince Dec 1, 2025 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
District Medical Group, Inc CurrentSince Jan 1, 2026 Accepting new patients
Arizona Center for Hematology and Oncology, PLC CurrentSince Dec 1, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 15, 2016 Accepting new patients
City of Hope Medical Group of Arizona LLC Radiation Oncology CurrentSince Mar 27, 2023 Accepting new patients
District Medical Group, Inc Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 15, 2016 Accepting new patients
Arizona Center for Hematology and Oncology PLC Radiation Oncology Current Accepting new patients

Locations

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

14155 N 83rd Ave
Ste 127
Peoria, AZ 85381
Phone (623) 773-2873

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2915 W Rose Garden Ln
Phoenix, AZ 85027
Phone (623) 207-3000

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

10460 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 278-8300

7337 E 2nd St
Scottsdale, AZ 85251
Phone (480) 712-8741

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

Interoperability endpoints

  • Direct secure messaging: chullett149133@cityofhope.direct-ci.com
  • Direct secure messaging: chullett670653@direct.uwhealth.org
  • Direct secure messaging: syeager1223435@direct.uwhealth.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1366887523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910221",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753910221",
            "telephone_number": "520-519-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 W SACK DR STE 105",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087106",
            "telephone_number": "623-888-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULLETT",
        "first_name": "CRAIG",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-01",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "58602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chullett670653@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "Uw Hospital & Clinics",
            "address_2": "600 Highland Ave, H4/831",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537920001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.