Active NPI
Mackenzie Pullee, D.O.
- Pain Medicine (Anesthesiology) Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 34013925
- Practice address
- 634 Sycamore St
Cincinnati, OH 45202-2535 - Phone
- (513) 558-2426
- Fax
- (513) 558-0995
- NPI assigned
- May 7, 2015
- Last updated
- Aug 26, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | ||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 34013925 | OH | Primary |
Addresses
Primary practice location
634 Sycamore St
Cincinnati, OH 45202-2535
Mailing address
634 Sycamore St Apt 2P
Cincinnati, OH 45202-2536
Phone (909) 835-7874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, TX, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- West Virginia School of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 E Van Buren St
Phoenix St Luke's
Phoenix, AZ 85006-3742
Phone (602) 251-8100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.31 of 100
- Quality
- 74.88
- Improvement activities
- 0
- Cost
- 73.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34013925 | OH | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Anesthesia Solutions | Anesthesiology | Current | Accepting new patients |
| Sound Physicians Anesthesiology of Texas PLLC | Anesthesiology | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Arizona - Nogales | Anesthesiology | Current | Accepting new patients |
| Dayton Anesthesia & Pain Services, LLC | Anesthesiology | Current | Accepting new patients |
| Globe Crna Company, LLC | Past | Accepting new patients |
Locations
5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777
1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1124430244
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1629401898
-
- Certified Registered Nurse Anesthetist
- Tucson, AZ
- NPI 1487251799
Anesthesiology
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1295356277
-
- Certified Registered Nurse Anesthetist
- Globe, AZ
- NPI 1164482790
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sun City, AZ
- NPI 1952560914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598400000000",
"number": "1558749770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 SYCAMORE ST APT 2P",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452022536",
"telephone_number": "909-835-7874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 SYCAMORE ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452022535",
"telephone_number": "513-558-2426",
"fax_number": "513-558-0995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULLEE",
"first_name": "MACKENZIE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-07",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "OH",
"license": "34013925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.