Active NPI
Natalie D Cullinane, M.D.
- Anesthesiology Physician
- Elkhart, IN
National Provider Identifier
1457432015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01066544A
- Practice address
- 1755 Fulton St
Elkhart, IN 46514-1927 - Phone
- (157) 452-2080
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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.
-
- Anesthesiology Physician
- Valparaiso, IN
- NPI 1215974936
-
- Cardiovascular Disease Physician
- Mishawaka, IN
- NPI 1194734483
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Porter County Anesthesia Associates PC
Practice addresses (Care Compare)
85 E US Hwy 6
Valparaiso, IN 46383-8947
Phone (219) 983-5743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090814000617 | IN | Practitioner - Anesthesiology | 6103970843 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01066544A | IN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porter County Anesthesia Associates PC | Anesthesiology | Current | Accepting new patients |
| Midwest Medical Group, LLC | Past | Accepting new patients |
Locations
3111 Village Pt
Chesterton, IN 46304
Phone (219) 983-1401
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01066544A | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1755 Fulton St
Elkhart, IN 46514-1927
Mailing address
1755 Fulton St
Elkhart, IN 46514-1927
Phone (157) 452-2080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 10, 2011.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1457432015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 FULTON ST",
"city": "ELKHART",
"state": "IN",
"postal_code": "465141927",
"telephone_number": "157-452-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 FULTON ST",
"city": "ELKHART",
"state": "IN",
"postal_code": "465141927",
"telephone_number": "157-452-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLINANE",
"first_name": "NATALIE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01066544A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.