Patrick J McCullough, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35069168 Issued in OH

Practice address

1101 Summit Rd
Cincinnati, OH 45237-2621

Phone

(513) 948-3600

Fax

(513) 948-8631

NPI assigned

Jun 9, 2006

Last updated

Oct 28, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Internal Medicine

Education

University of Cincinnati College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of Ohio Office of Budget and Management State AccountingGroup PAC ID 0143133181, 109 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• State of Ohio Office of Budget and Management State Accounting

  dba Summit Behavioral Healthcare

  • Psychiatric Hospital
  • Cincinnati, OH
  • NPI 1023082716
  Medicare reassignment Care Compare group NPD
• State of Ohio Office of Budget and Management State Accounting

  dba Ohio Veterans Home

  • Nursing Facility/Intermediate Care Facility
  • Sandusky, OH
  • NPI 1790732576
  NPD
• Daniel Drake Center for Post-Acute Care, LLC

  • Long Term Care Hospital
  • Cincinnati, OH
  • NPI 1558355487

  Internal Medicine

  NPD (past)
• University of Cincinnati Medical Center, LLC

  dba UC Health West Chester Pharmacy

  • Community/Retail Pharmacy
  • West Chester, OH
  • NPI 1912285115
  NPD (past)
• University of Cincinnati Physicians Company, LLC

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1801840434

  Internal Medicine

  NPD (past)
• West Chester Hospital LLC

  • General Acute Care Hospital
  • West Chester, OH
  • NPI 1851549273

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1649211897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SUMMIT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452372621",
            "telephone_number": "513-948-3600",
            "fax_number": "513-948-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SUMMIT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452372621",
            "telephone_number": "513-948-3600",
            "fax_number": "513-948-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "PATRICK",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35069168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64956493",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0382321",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna L. McCullah, LPCC, CRC, CDMS
• Charles Anthony McCullough
• Kia McCullough, PMHNP
• Mary Beth McCullough, PH.D.
• Mary Ellen K McCullough, MD
• Tyler Lenae McCullough
• Annie L McCune, AU.D
• Lisa McCune, RD, LDN
• Lakesha N McCurdy, LPN
• Tanya D McCurry

• Internal Medicine Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.