Individual provider Active NPI

Natalie D Cullinane, M.D.

  • Anesthesiology Physician
  • Elkhart, IN
National Provider Identifier
1457432015
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01066544A Issued in IN
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.

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 29 clinicians

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
01066544AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Porter County Anesthesia Associates PC Anesthesiology CurrentSince Apr 1, 2024 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)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01066544A IN Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.