Individual provider Active NPI

Michael J Cullado, M.D.

  • Colon & Rectal Surgery Physician
  • Akron, OH
National Provider Identifier
1477519239
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
35-055832 Issued in OH
Practice address
550 E Market St
Suite 103
Akron, OH 44304-1613
Phone
(330) 434-5978
Fax
(330) 434-6908
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 35-055832 OH Primary

Addresses

Primary practice location

550 E Market St
Suite 103
Akron, OH 44304-1613

Mailing address

525 E Market St
PO Box 2090
Akron, OH 44304-1619
Phone (330) 996-0347

Other identifiers 1

IdentifierTypeStateIssuer
0855623MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100203000206 OH Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 9335282003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
University of Minnesota Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

155 5TH St NE
Barberton, OH 44203-3332

525 E Market St
Akron, OH 44304-1619

95 Arch St
Akron, OH 44304-1437
Phone (330) 375-3039

95 Arch St
Suite 115
Akron, OH 44304-1466
Phone (330) 434-5978

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy17
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-055832OHMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Dec 1, 1999 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Summa Health System Past Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

95 Arch St
Ste 150
Akron, OH 44304
Phone (330) 564-0728

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

95 Arch St
Ste 115
Akron, OH 44304
Phone (330) 375-6520

Interoperability endpoints

  • Direct secure messaging: mcullado23012@summahealth-direct.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1477519239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E MARKET ST",
            "address_2": "PO BOX 2090",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041619",
            "telephone_number": "330-996-0347",
            "fax_number": "330-996-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E MARKET ST",
            "address_2": "SUITE 103",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041613",
            "telephone_number": "330-434-5978",
            "fax_number": "330-434-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLADO",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "OH",
            "license": "35-055832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0855623",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.