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DR. JOHANNA LYNN MCCULLAGH MD
NPI 1164569661
Internal Medicine - Nephrology in Kansas City, MO

Active since January 31, 2007PECOS Enrolled
4320 WORNALL RD, SUITE 208, KANSAS CITY, MO 64111(816) 531-0552(816) 756-2503 Get Directions Write a Review

NPPES record last updated: March 9, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Johanna Lynn Mccullagh Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHANNA LYNN MCCULLAGH MD (NPI 1164569661) is an individual nephrology provider in Kansas City, Missouri, licensed in Kansas (04-31432) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164569661
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. JOHANNA LYNN MCCULLAGHCredential: MD
Location Address4320 WORNALL RD, SUITE 208Kansas City, MO 64111-5941
Mailing Address4320 Wornall Rd, Suite 208Kansas City, MO 64111-5941 · (816) 531-0552 · Fax (816) 756-2503
Phone(816) 531-0552
Fax(816) 756-2503
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateMarch 9, 2016
✔ NPI 1164569661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in KS · 04-31432
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0431432 (KS)
4320 WORNALL RD, Kansas City, MO 64111
Open in Google Maps ↗

Other Identifiers 1

Other04-31432KS · Kslicense

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Johanna Lynn Mccullagh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Johanna Mccullagh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kansas City Kidney Consultants, PA
0.1 mi
Nephrology
4320 WORNALL RD STE 208
Kansas City, MO 64111
  • Reassigned Medicare billing, Kansas enrollment
  • 21 clinicians in this Medicare group
NPI 1164528626 (816) 531-0552
Saint Lukes Hospital Of Garnett Inc
64 mi
Family Medicine
421 S MAPLE ST # 309
Garnett, KS 66032
  • Reassigned Medicare billing, Kansas enrollment
  • 135 clinicians in this Medicare group
NPI 1073531174 (785) 448-3131

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
2%180 patients1/55-star benchmark: 85%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
72%194 patients4/55-star benchmark: 90%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

CARL D DIRKS MD
Internal Medicine
4320 WORNALL RD, SUITE 65
KANSAS CITY, MO 64111
Jackson County (816) 932-6100
SATISH PONNURU MD
Plastic Surgery
4320 WORNALL RD, SUITE 513
KANSAS CITY, MO 64111
Jackson County (816) 932-4549
DR. CONSTANTINE LAN FOTOPOULOS M.D.
Physical Medicine & Rehabilitation
4320 WORNALL RD, SUITE 610
KANSAS CITY, MO 64111
Jackson County (913) 319-7600
SAINT LUKE'S HOSPITAL PHYSICIAN BILLING SERVICES, LLC
Dermatology
4320 WORNALL RD, SUITE 513
KANSAS CITY, MO 64111
Jackson County (816) 932-4500
KARA BETH SCHNEWEIS PT
Physical Therapist
4320 WORNALL RD, SUITE 710
KANSAS CITY, MO 64111
Jackson County (816) 531-5570
DR. JUSTIN VAN MEETEREN DO
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4320 WORNALL RD, SUITE 50
KANSAS CITY, MO 64111
Jackson County (816) 931-3312
DR. RICHARD W LUSTIG D.O.
Internal Medicine
4320 WORNALL RD, SUITE 65
KANSAS CITY, MO 64111
Jackson County (816) 932-6100
PLAZA INFECTIOUS DISEASE, PC
Internal Medicine (Infectious Disease)
4320 WORNALL RD, SUITE 440
KANSAS CITY, MO 64111
Jackson County (816) 531-1550

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 Johanna Mccullagh's NPI number?

The NPI number for Johanna Mccullagh is 1164569661. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Johanna Mccullagh located?

Johanna Mccullagh practices at 4320 Wornall Rd Suite 208, Kansas City, MO 64111. The listed phone number is (816) 531-0552.

What is Johanna Mccullagh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Johanna Mccullagh enrolled in Medicare?

Yes. Johanna Mccullagh is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Johanna Mccullagh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johanna Mccullagh reassigns Medicare benefits to 2 organizations: Kansas City Kidney Consultants, PA (Kansas City, MO) and Saint Lukes Hospital Of Garnett Inc (Garnett, KS). Each 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 Johanna Mccullagh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Johanna Mccullagh was last updated on March 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.