ALICIA D MCCULLOUGH DO
NPI 1689235301
Psychiatry & Neurology - Psychiatry in Kansas City, MO

Q: What is Alicia Mccullough's NPI number?

The NPI number for Alicia Mccullough is 1689235301. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Q: What is Alicia Mccullough's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Alicia Mccullough was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 24, 2019PECOS EnrolledAccepts Medicare Assignment

4400 BROADWAY BLVD STE 300, KANSAS CITY, MO 64111(816) 932-1711 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2023, Jan 26, 2022 (2 updates tracked since 2022).

On this page

About Alicia D Mccullough Do NPPES

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

ALICIA D MCCULLOUGH DO (NPI 1689235301) is an individual psychiatry provider in Kansas City, Missouri, licensed in Missouri (2500090246) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital Of Kansas City, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2019).

NPPES Registry Identity

NPI1689235301

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameALICIA D MCCULLOUGHCredential: DO

Location Address4400 BROADWAY BLVD STE 300Kansas City, MO 64111-3342

Mailing Address901 E 104th St, Mailstop 400sKansas City, MO 64131 · (816) 932-1711

Phone(816) 932-1711

Sole ProprietorNo

Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2019

Enumeration DateJune 24, 2019

Last NPPES UpdateSeptember 5, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2023

✔ NPI 1689235301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in MO · 2500090246✔ Licensed in KS · 0548330

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

4400 BROADWAY BLVD STE 300, Kansas City, MO 64111

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alicia D Mccullough Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466816434

PECOS Enrollment IDI20230908001828, I20230908002020

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 Reassignment

Medicare enrollment records show Alicia Mccullough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saint Luke's Physician Group Inc

7.5 mi

Family Medicine

901 E 104TH ST, MS 400N
Kansas City, MO 64131

Reassigned Medicare billing, Kansas and Missouri enrollments
Medicare enrollment name: Saint Lukes Physician Group Inc
845 clinicians in this Medicare group

NPI 1093263717 (816) 502-8782

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

142 services47 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

45 services45 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

24 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260138

Location4401 Wornall RoadKansas City, MO 64111 · Jackson County

Emergency services Birthing friendly

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

$168.52 typical visit price

range $55.29 – $168.52

Typical copayment $42.13 (range $13.82 – $42.13)

Most-billed visit code 99205

Established Patient

$69.10 typical visit price

range $17.60 – $137.20

Typical copayment $17.27 (range $4.40 – $34.30)

Most-billed visit code 99213

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 6

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

NAWFEL ABDULAMEER MD

Psychiatry & Neurology (Psychiatry)