DR. MICHAEL-FLYNN LAGOZZINO CULLEN MD
NPI 1083977466
Physical Medicine & Rehabilitation - Sports Medicine in Tacoma, WA
About Dr. Michael-flynn Lagozzino Cullen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL-FLYNN LAGOZZINO CULLEN MD (NPI 1083977466) is an individual sports medicine provider in Tacoma, Washington, licensed in Texas (R5713) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Michael-flynn Lagozzino Cullen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Michael-flynn Cullen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waco, TX 76712
- Reassigned Medicare billing, Texas enrollment
- 176 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TACOMA, WA 98431
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Michael-flynn Cullen's NPI number?
The NPI number for Michael-flynn Cullen is 1083977466. It was assigned to this individual provider in the NPPES registry on June 20, 2012.
Where is Michael-flynn Cullen located?
Michael-flynn Cullen practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-2252.
What is Michael-flynn Cullen's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.
Is Michael-flynn Cullen enrolled in Medicare?
Yes. Michael-flynn Cullen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Michael-flynn Cullen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael-flynn Cullen reassigns Medicare benefits to Providence Health Alliance (Waco, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael-flynn Cullen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael-flynn Cullen accept?
Health plans from Blue Cross and Blue Shield of Texas list Michael-flynn Cullen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Michael-flynn Cullen was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Michael-Flynn Lagozzino Cullen, MD · NPI 1083977466
Sports Medicine physician in Tacoma, Washington. Individual provider, active in the CMS NPPES registry since June 20, 2012.
## Identity
- **NPI:** 1083977466 (Entity type: Individual)
- **Enumerated:** June 20, 2012
- **Primary specialty:** Physical Medicine & Rehabilitation - Sports Medicine · taxonomy 2081S0010X
- **State license:** R5713 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 9040 JACKSON AVE, Tacoma, WA 98431-0001
- **Phone:** (253) 968-2252
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Providence Health Alliance (NPI 1932210838, Waco, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1083977466) · Data from the CMS NPPES public registry.