Active NPI
Cass M Cullis, MD
- Cardiovascular Disease Physician
- Troy, OH
National Provider Identifier
1982607172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 35.041154
- Practice address
- 3006 N County Road 25a
Ste 104
Troy, OH 45373-1373 - Phone
- (937) 335-3518
- Fax
- (937) 332-6857
- NPI assigned
- May 23, 2005
- 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 | 35.041154 | OH | Primary |
Addresses
Primary practice location
3006 N County Road 25a
Ste 104
Troy, OH 45373-1373
Mailing address
3006 N County Road 25a
Ste 104
Troy, OH 45373-1373
Phone (937) 335-3518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0472939 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.041154 | OH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology Care Inc | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- Troy, OH
- NPI 1477585495
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385942400000",
"number": "1982607172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3006 N COUNTY ROAD 25A",
"address_2": "STE 104",
"city": "TROY",
"state": "OH",
"postal_code": "453731373",
"telephone_number": "937-335-3518",
"fax_number": "937-332-6857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3006 N COUNTY ROAD 25A",
"address_2": "STE 104",
"city": "TROY",
"state": "OH",
"postal_code": "453731373",
"telephone_number": "937-335-3518",
"fax_number": "937-332-6857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLIS",
"first_name": "CASS",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2013-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "35.041154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0472939",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.