DR. MARY ELLEN K MCCULLOUGH MD
NPI 1407840812
Internal Medicine - Hematology & Oncology in Cincinnati, OH

Q: What is Mary Ellen Mccullough's NPI number?

The NPI number for Mary Ellen Mccullough is 1407840812. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Q: What is Mary Ellen Mccullough's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since August 31, 2005PECOS Enrolled

5525 MARIE AVE, CINCINNATI, OH 45248(513) 751-2273(513) 574-7062 Get Directions Write a Review

NPPES record last updated: November 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mary Ellen K Mccullough Md NPPES

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

DR. MARY ELLEN K MCCULLOUGH MD (NPI 1407840812) is an individual hematology & oncology provider in Cincinnati, Ohio, licensed in Ohio (35069652) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407840812

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameDR. MARY ELLEN K MCCULLOUGHCredential: MD

Location Address5525 MARIE AVECincinnati, OH 45248-3200

Mailing Address5053 Wooster RdCincinnati, OH 45226-2326 · (513) 751-2145 · Fax (513) 751-2138

Phone(513) 751-2273

Fax(513) 574-7062

Sole ProprietorNo

Enumeration DateAugust 31, 2005

Last NPPES UpdateNovember 7, 2012

✔ NPI 1407840812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in OH · 35069652

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

5525 MARIE AVE, Cincinnati, OH 45248

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Other Identifiers 5

Medicaid64089188KY

Medicare PIN4130104OH

Medicare UPING64218

Medicaid200499880IN

Medicaid2048733OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Ellen K Mccullough 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45248 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

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WESTSIDE ENDOSCOPY

Clinic/Center (Medical Specialty)