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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXANDRA ABRAMS MCCULLOUGH MD
NPI 1720723679
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since May 04, 2022PECOS Enrolled
51 N 39TH ST FL 2, PHILADELPHIA, PA 19104(215) 662-9600(215) 243-4666 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2026, Jun 22, 2025, May 4, 2022 (3 updates tracked since 2022).

About Alexandra Abrams Mccullough Md NPPES

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

ALEXANDRA ABRAMS MCCULLOUGH MD (NPI 1720723679) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1720723679
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALEXANDRA ABRAMS MCCULLOUGHCredential: MD
Location Address51 N 39TH ST FL 2Philadelphia, PA 19104-2640
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-0000 · Fax (410) 500-4266
Phone(215) 662-9600
Fax(215) 243-4666
Sole ProprietorNo
Enumeration DateMay 4, 2022
Last NPPES UpdateJuly 1, 20263 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1720723679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD489015 (PA)
51 N 39TH ST FL 2, Philadelphia, PA 19104
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Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 502-2037

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Abrams 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.

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 Alexandra Mccullough's NPI number?

The NPI number for Alexandra Mccullough is 1720723679. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Where is Alexandra Mccullough located?

Alexandra Mccullough practices at 51 N 39th St Fl 2, Philadelphia, PA 19104. The listed phone number is (215) 662-9600.

What is Alexandra Mccullough's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alexandra Mccullough enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alexandra Mccullough was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 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.