Active NPI
Gregory Cuculino, MD
- Emergency Medicine Physician
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME131250
- Practice address
- 222 S Peninsula Dr
Daytona Beach, FL 32118-4422 - Phone
- (386) 310-2160
- Fax
- (386) 310-2106
- NPI assigned
- May 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD067278L | PA | |
| Emergency Medicine Physician | 207P00000X | ME131250 | FL | Primary |
Addresses
Primary practice location
222 S Peninsula Dr
Daytona Beach, FL 32118-4422
Mailing address
222 S Peninsula Dr
Daytona Beach, FL 32118-4422
Phone (386) 310-2160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001754621 | Medicaid | PA |
Other names 1
- Gregory P Cuculino
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170808003940 | FL | Practitioner - Emergency Medicine | 7214123280 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME131250 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inphynet Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Professionals PA | Emergency Medicine | Current | Accepting new patients |
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| Delmar Emergency Specialists PA | Emergency Medicine | Past | Accepting new patients |
| Doctors for Emergency Service | Emergency Medicine | Past | Accepting new patients |
| Main Line Emergency Med Associates LLC | Emergency Medicine | Past | Accepting new patients |
Locations
222 S Peninsula Dr
Daytona Beach, FL 32118
Phone (386) 310-2160
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309
5028 Okeechobee Blvd
West Palm Beach, FL 33417
Phone (561) 578-6700
200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652
Organizations & group practices 7
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.
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- NPI 1912101650
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-
- Emergency Medicine Physician
- Birmingham, AL
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- Emergency Medicine Physician
- Newark, DE
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- NPI 1316919368
Emergency Medicine
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1669429130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 S PENINSULA DR",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321184422",
"telephone_number": "386-310-2160",
"fax_number": "386-310-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 S PENINSULA DR",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321184422",
"telephone_number": "386-310-2160",
"fax_number": "386-310-2106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUCULINO",
"first_name": "GREGORY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD067278L",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME131250",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001754621",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GREGORY",
"last_name": "CUCULINO",
"middle_name": "P",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.