Active NPI
Craig R Hullett, M.D.
- Radiation Oncology Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 58602
- 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, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chullett670653@direct.uwhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Center for Hematology and Oncology, PLC | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Arizona Center for Hematology and Oncology, PLC | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| City of Hope Medical Group of Arizona LLC | Radiation Oncology | Current | Accepting new patients |
| District Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Mercy Health System Corporation | Current | 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
- chullett149133@cityofhope.direct-ci.com
- chullett670653@direct.uwhealth.org
- 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.
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1841243722
Radiation Oncology
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
Radiation Oncology
-
dba MHS Physician Services
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Surgery Physician
- Peoria, AZ
- NPI 1083007165
-
- Nuclear Radiology Physician
- Glendale, AZ
- NPI 1417216607
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1629301734
-
dba Mercy Hospital Janesville
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
-
dba Mercy Walworth Hospital and Medical Center
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HonorHealth Scottsdale Osborn Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
-
dba Western Regional Medical Center Retail Pharmacy
- Community/Retail Pharmacy
- Goodyear, AZ
- NPI 1710138037
Hospital
-
dba City of Hope Cancer Center Arizona
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1508029422
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.