Individual provider Active NPI

Dennis Conor Cullen, M.D.

  • Family Medicine Physician
  • Bethesda, MD
National Provider Identifier
1982157764
Registry record updated May 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D89581 Issued in MD
Practice address
7625 Wisconsin Ave.
Suite 101
Bethesda, MD 20814-6564
Phone
(240) 497-1570
Fax
(301) 657-5638
NPI assigned
Jul 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2021

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 MD467889 PA
Family Medicine Physician 207Q00000X D89581 MD Primary

Addresses

Primary practice location

7625 Wisconsin Ave.
Suite 101
Bethesda, MD 20814-6564

Mailing address

7625 Wisconsin Ave.
Suite 101
Bethesda, MD 20814-6564
Phone (240) 497-1570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20200818002431 DC Practitioner - Family Practice 7719273010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

4910 Massachusetts Ave NW
Suite 114 Grady DC Office
Washington, DC 20016-4384
Phone (202) 686-0813

6410 Rockledge Dr
Bethesda, MD 20817-1844

7625 Wisconsin Ave
Suite 101
Bethesda, MD 20814-6564
Phone (301) 951-0420

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD467889PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Family Medicine CurrentSince Jul 13, 2020 Accepting new patients
Privia Care Center LLC CurrentSince Jul 13, 2020 Accepting new patients
Privia Care Center LLC CurrentSince Jul 13, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 13, 2020 Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

7625 Wisconsin Ave
Ste 101
Bethesda, MD 20814
Phone (240) 497-1570

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • Direct secure messaging: dennis.cullenmd.p2@direct.msmg.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620432000000",
    "number": "1982157764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 WISCONSIN AVE.",
            "address_2": "SUITE 101",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146564",
            "telephone_number": "240-497-1570",
            "fax_number": "301-657-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 WISCONSIN AVE.",
            "address_2": "SUITE 101",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146564",
            "telephone_number": "240-497-1570",
            "fax_number": "301-657-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "DENNIS",
        "middle_name": "CONOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD467889",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D89581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.