1. Home
  2. Directory
  3. Oklahoma
  4. Tulsa
  5. Family Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NILE DELAWRENCE MCCULLOUGH
NPI 1366110603
Family Medicine in Tulsa, OK

Active since September 01, 2021PECOS Enrolled
5320 E 81ST ST APT 724, TULSA, OK 74137(405) 812-8745 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nile Delawrence Mccullough NPPES

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

NILE DELAWRENCE MCCULLOUGH (NPI 1366110603) is an individual family medicine provider in Tulsa, Oklahoma, licensed in Illinois (036.181875) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of University Of Oklahoma College Of Medicine (2023).

NPPES Registry Identity

NPI1366110603
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNILE DELAWRENCE MCCULLOUGH
Location Address5320 E 81ST ST APT 724Tulsa, OK 74137-2221
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(405) 812-8745
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2023
Enumeration DateSeptember 1, 2021
Last NPPES UpdateOctober 27, 2026
NPPES CertifiedOctober 27, 2026
✔ NPI 1366110603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036.181875
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5320 E 81ST ST APT 724, Tulsa, OK 74137
Open in Google Maps ↗

Secondary Practice Location 1

Location 1901 E 95th StChicago, IL 60619-7861 · Phone (312) 878-9240

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nile Delawrence Mccullough is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628539970
PECOS Enrollment IDI20260916002413
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74137 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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 Nile Mccullough's NPI number?

The NPI number for Nile Mccullough is 1366110603. It was assigned to this individual provider in the NPPES registry on September 1, 2021.

Where is Nile Mccullough located?

Nile Mccullough practices at 5320 E 81st St Apt 724, Tulsa, OK 74137. The listed phone number is (405) 812-8745.

What is Nile Mccullough's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nile Mccullough enrolled in Medicare?

Yes. Nile Mccullough is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nile Mccullough was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.