Matthew Calvin McCullough

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

04-49225 Issued in KS

Practice address

4000 Cambridge St
Kansas City, KS 66160-8501

Phone

(913) 588-9600

NPI assigned

Apr 3, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 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

Specialty

Cardiovascular Disease (Cardiology)

Education

University of Kansas School of Med (KC/Wich/Sal), 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kansas University Physicians IncGroup PAC ID 8921911587, shared by 4 NPIs, 1,809 clinicians

Mid-America Cardiology Associates IncGroup PAC ID 7012801103, 110 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
• University of KS HLTH System Great Bend Campus Hospital, Great Bend, KS, CCN 170191
• Liberty Hospital Hospital, Liberty, MO, CCN 260177
• Amberwell Atchison Association Hospital, Atchison, KS, CCN 171382
• University of Kansas Health System Olathe Hospital Hospital, Olathe, KS, CCN 170049

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmccullough40615@direct.kuha.org

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.

• Mid-America Cardiology Associates, Inc.

  • Cardiovascular Disease Physician
  • Kansas City, KS
  • NPI 1467406306

  MO

  Medicare reassignment Care Compare group NPD
• Kansas University Physicians Inc

  • Internal Medicine Physician
  • Kansas City, KS
  • NPI 1003858333
  Medicare reassignment NPD
• Kansas University Physicians Inc

  • Neurological Surgery Physician
  • Kansas City, KS
  • NPI 1922144856

  MO

  Medicare reassignment NPD
• Kansas University Physicians Inc

  • Cardiovascular Disease Physician
  • Kansas City, KS
  • NPI 1407637291
  NPD
• Kansas University Physicians Inc

  • Internal Medicine Physician
  • Kansas City, KS
  • NPI 1699811521

  Cardiovascular Disease

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amberwell Atchison Association

  • Critical Access Hospital
  • Atchison, KS
  • NPI 1932151487
  Care Compare affiliation
• Olathe Medical Center Inc

  • General Acute Care Hospital
  • Olathe, KS
  • NPI 1144266115
  Care Compare affiliation
• Ukhs Great Bend, LLC

  • General Acute Care Hospital
  • Great Bend, KS
  • NPI 1548750417
  Care Compare affiliation
• University of Kansas Hospital Authority

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1629369681
  Care Compare affiliation
• University of Kansas Hospital Authority

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1649259656
  Care Compare affiliation
• New Liberty Hospital Corporation

  • General Acute Care Hospital
  • Liberty, MO
  • NPI 1548001464
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1477059004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CAMBRIDGE ST STE G600",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608501",
            "telephone_number": "913-588-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CAMBRIDGE ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608501",
            "telephone_number": "913-588-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "MATTHEW",
        "middle_name": "CALVIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2023046933",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "04-49225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Leigh McCracken, DDS
• Kerri McCright
• Lindsay McCrite, PA-C
• James P. McCullough, M.D.
• Kayla McCullough
• Anna Bucharena McCune, LMSW
• Alexa McCurdy, RN
• Dylan McDaniel, CRNA
• Seth D McDaniel
• Sean McDermott, MD

• Cardiovascular Disease Physician in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Cardiovascular Disease Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.

Verify at the official NPI Registry.