Active NPI
Kevin J McCullum, MD
- Cardiovascular Disease Physician
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD040198E
- Practice address
- 30 Monument Rd
Suite 1100
York, PA 17403-5024 - Phone
- (717) 851-2441
- Fax
- (717) 260-3322
- NPI assigned
- Jun 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD040198E | PA | Primary |
Addresses
Primary practice location
30 Monument Rd
Suite 1100
York, PA 17403-5024
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
450 S Washington St Ste A
Gettysburg, PA 17325-2500
Phone (717) 339-3105
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001437544 | Medicaid | PA | |
| 0740745 | Other | PA | HIGHMARK BLUE SHIELD |
| 02086001 | Other | PA | CAPITAL BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- George Washington University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 S George St
York, PA 17403-3676
1001 S George St 2ND Floor
Wellspan Pulmonary and Sleep Medicine
York, PA 17403-3676
Phone (717) 851-2465
13515 Wolfe Rd
New Freedom, PA 17349-9346
13515 Wolfe Rd B
Wellspan Urgent Care
New Freedom, PA 17349-9346
Phone (717) 812-7278
147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 334-2121
2250 E Market St
York, PA 17402-2857
25 Monument Rd
York, PA 17403-5049
25 Monument Rd
York, PA 17403-5073
2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214
30 Monument Rd
Suite 1100
York, PA 17403-5024
Phone (717) 812-2480
3065 Windsor Rd
Red Lion, PA 17356-8533
37 Monument Rd
Suite 101
York, PA 17403-5023
Phone (717) 851-6454
4 TH and Walnut STS
2ND Floor
Lebanon, PA 17042-6123
Phone (717) 270-3751
40 V Twin Dr
Gettysburg, PA 17325-7878
4020 Carlisle Rd
Dover, PA 17315-3508
55 Monument Rd
York, PA 17403-5023
Phone (717) 812-6425
914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214
Hospital & facility affiliations
- Wellspan York Hospital
- Gettysburg Hospital
- Wellspan Good Samaritan Hospital
- Wellspan Chambersburg Hospital
- Wellspan Waynesboro Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD040198E | PA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients |
Locations
423 S Washington St
Gettysburg, PA 17325
Phone (717) 334-9259
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
1575 Bannister St
Ste 7
York, PA 17404
Phone (717) 741-8170
30 Monument Rd
Ste 1100
York, PA 17403
Phone (717) 851-2441
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
1803 Mount Rose Ave
Ste B3
York, PA 17403
Phone (717) 851-6816
2064 Springwood Rd
York, PA 17403
Phone (717) 843-0385
605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334
25 Monument Rd
Ste 200
York, PA 17403
Phone (717) 741-4690
1001 S George St
York, PA 17403
Phone (717) 812-7687
Interoperability endpoints
- kmccullum12739@wellspan.direct-ci.com
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Orthopaedic Surgery Physician
- York, PA
- NPI 1780839167
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
- Ambulatory Surgical Clinic/Center
- Lebanon, PA
- NPI 1205902343
Hospital
-
- General Acute Care Hospital
- Lebanon, PA
- NPI 1407928500
-
- Emergency Medicine Physician
- Lebanon, PA
- NPI 1730754284
Hospital
-
- General Acute Care Hospital
- Waynesboro, PA
- NPI 1821091059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1831137983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MONUMENT RD",
"address_2": "SUITE 1100",
"city": "YORK",
"state": "PA",
"postal_code": "174035024",
"telephone_number": "717-851-2441",
"fax_number": "717-260-3322"
}
],
"practiceLocations": [
{
"address_1": "450 S Washington St Ste A",
"address_purpose": "LOCATION",
"city": "Gettysburg",
"state": "PA",
"postal_code": "173252500",
"country_code": "US",
"telephone_number": "717-339-3105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCULLUM",
"first_name": "KEVIN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD040198E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001437544",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "0740745",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02086001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.