Individual provider Active NPI

Steven J McCullough, DO

  • Internal Medicine Physician
  • Paducah, KY
National Provider Identifier
1780753988
Registry record updated Sep 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
02706 Issued in KY
Practice address
225 Medical Center Dr
Suite 304
Paducah, KY 42003-7914
Phone
(270) 538-5596
Fax
(270) 538-5597
NPI assigned
Nov 6, 2006
Last updated
Sep 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 02706 KY Primary
Nephrology Physician 207RN0300X 02706 KY
Hospitalist Physician 208M00000X 02706 KY

Addresses

Primary practice location

225 Medical Center Dr
Suite 304
Paducah, KY 42003-7914

Mailing address

PO Box 636961
Cincinnati, OH 45263-6961
Phone (270) 538-5596

Other practice location 1

803 Poplar St
Murray, KY 42071-2432
Phone (270) 762-1100

Other identifiers 1

IdentifierTypeStateIssuer
64069461MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20090428000505 KY Practitioner - Internal MedicinePractitioner - NephrologyPractitioner - Hospitalist 6800943481 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist, Nephrology
Education
Lake Erie College of Osteopathic Medicine, Erie, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Valley Hospital Medicine Physicians LLCGroup PAC ID 3779973839, 27 clinicians

Practice addresses (Care Compare)

1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (270) 444-2444

2501 Kentucky Ave
FL 5
Paducah, KY 42003-3813
Phone (270) 217-8482

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.99 of 100Reported as group
Quality
73.34
Promoting interoperability
100
Improvement activities
40
Cost
73.31

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as group
Improvement activities
40
Cost
75.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02706KYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Murray-Calloway County Public Hospital Corporation CurrentSince Aug 18, 2023 Accepting new patients
Murray-Calloway County Public Hospital Corporation Internal Medicine CurrentSince Aug 18, 2023 Accepting new patients
Green Valley Hospital Medicine Physicians, LLC Internal Medicine CurrentSince Aug 27, 2023 Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Aug 19, 2024 Accepting new patients
Murray-Calloway County Public Hospital Corporation Internal Medicine Current Accepting new patients
Mercy Health-Lourdes Hospital LLC Past Accepting new patients
Kidney Specialists of Paducah PLLC Nephrology PastSince Dec 1, 2018 Accepting new patients

Locations

400 Galleria Pkwy SE
Ste 1755
Atlanta, GA 30339

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

300 S 8th St
Ste 380W
Murray, KY 42071
Phone (270) 753-0704

300 S 8th St
Ste 480W
Murray, KY 42071
Phone (270) 762-1104

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

Interoperability endpoints

  • Direct secure messaging: smccullough188776@direct.bsmhealth.org

Organizations & group practices 8

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 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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694908800000",
    "number": "1780753988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636961",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636961",
            "telephone_number": "270-538-5596",
            "fax_number": "270-538-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR",
            "address_2": "SUITE 304",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-538-5596",
            "fax_number": "270-538-5597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Poplar St",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "KY",
            "postal_code": "420712432",
            "country_code": "US",
            "telephone_number": "270-762-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "STEVEN",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2023-09-17",
        "certification_date": "2023-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "02706",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "02706",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "02706",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64069461",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.