NPIMap

Individual provider Active NPI

Mary Rose McCullough, M.D.

  • Family Medicine Physician
  • Greensburg, IN
National Provider Identifier
1407855943
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01032780A Issued in IN
Practice address
955 N Michigan Ave
Greensburg, IN 47240-1487
Phone
(812) 663-7277
Fax
(812) 662-7307
NPI assigned
Jul 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01032780A IN Primary

Addresses

Primary practice location

955 N Michigan Ave
Greensburg, IN 47240-1487

Mailing address

955 N Michigan Ave
Greensburg, IN 47240-1487
Phone (812) 663-7277

Other identifiers 1

IdentifierTypeStateIssuer
181030MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080613000242 IN Practitioner - Family Practice 3678582301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur County Memorial HospitalGroup PAC ID 7315837671, 128 clinicians

Practice addresses (Care Compare)

955 N Michigan Ave
4 DCMH Immediate Care
Greensburg, IN 47240-1487
Phone (812) 662-6450

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01032780AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur County Memorial Hospital CurrentSince Jan 1, 2008 Accepting new patients
Decatur County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Decatur County Memorial Hospital Current Accepting new patients
Decatur County Memorial Hospital Family Medicine CurrentSince Jan 1, 2008 Accepting new patients
Major Hospital Past Accepting new patients

Locations

26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

955 N Michigan Ave
Greensburg, IN 47240
Phone (812) 222-3627

Interoperability endpoints

  • Direct secure messaging: mary.mccullough@direct.dcmh.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Morning Breeze Retirement Community and Healthcare CenterGreensburg, IN, CCN 155675 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2003
Aug 1, 2003

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 4

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407855943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 N MICHIGAN AVE",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401487",
            "telephone_number": "812-663-7277",
            "fax_number": "812-662-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 N MICHIGAN AVE",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401487",
            "telephone_number": "812-663-7277",
            "fax_number": "812-662-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "MARY",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01032780A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181030",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, IN

Sources for this page

Verify at the official NPI Registry.