NPIMap

Individual provider Active NPI

Christian E. Cupp, M.D.

  • Family Medicine Physician
  • Scott City, KS
National Provider Identifier
1760410559
Registry record updated Dec 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-29370 Issued in KS
Practice address
201 Albert Ave
Scott City, KS 67871
Phone
(620) 872-2187
Fax
(620) 872-7193
NPI assigned
Jun 29, 2006
Last updated
Dec 29, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0429370 KS
Family Medicine Physician 207Q00000X 04-29370 KS Primary

Addresses

Primary practice location

201 Albert Ave
Scott City, KS 67871

Mailing address

201 Albert Ave
Scott City, KS 67871
Phone (620) 872-2187

Other identifiers 4

IdentifierTypeStateIssuer
P00131462OtherTRAVELERS UNITED HLTHCARE
103714OtherKSBCBS
522210OtherKSFIRST GUARD
100642430BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040521001255 KS Practitioner - Family Practice 6709877251 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott County HospitalGroup PAC ID 5991773103, 16 clinicians

Practice addresses (Care Compare)

201 Albert Ave
Scott City, KS 67871-6117
Phone (620) 872-2187

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-29370KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott County Hospital CurrentSince Jan 1, 2026 Accepting new patients
Greeley County Health Services, Inc Past Accepting new patients
Greeley County Health Services, Inc Past Accepting new patients
Greeley County Health Services Inc Past Accepting new patients
Scott County Rest Home Inc Past Accepting new patients
Greeley County Health Services, Inc. Past Accepting new patients

Locations

201 Albert Ave
Scott City, KS 67871
Phone (620) 872-2187

Interoperability endpoints

  • Direct secure messaging: chrisc@scottclinic.gwaydirect.com
  • Direct secure messaging: christian.cupp@khindirect.org
  • Direct secure messaging: drcupp@scotthosp.securechart.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/9fb5a2bd-a55d-48eb-b83b-63c1c6fa3826/
  • FHIR API: https://fhir-usa.unify.chbase.com/org/greelco-fe371fba

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Park Lane Nursing HomeScott City, KS, CCN 175525 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2016
Jan 1, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514505600000",
    "number": "1760410559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ALBERT AVE",
            "city": "SCOTT CITY",
            "state": "KS",
            "postal_code": "67871",
            "telephone_number": "620-872-2187",
            "fax_number": "620-872-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ALBERT AVE",
            "city": "SCOTT CITY",
            "state": "KS",
            "postal_code": "67871",
            "telephone_number": "620-872-2187",
            "fax_number": "620-872-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPP",
        "first_name": "CHRISTIAN",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2017-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0429370",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-29370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS UNITED HLTHCARE",
            "identifier": "P00131462",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "103714",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST GUARD",
            "identifier": "522210",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100642430B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott City, KS

Sources for this page

Verify at the official NPI Registry.