Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 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: July 19, 2026.

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

  • Individual
  • Female
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About ALEXANDRA MCCULLOUGH

This page provides the complete NPI Profile along with additional information for Alexandra Mccullough, a primary care provider established in Philadelphia, Pennsylvania with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1720723679 assigned on May 2022. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated July 2026.

NPI
1720723679 Verify this NPI
Provider Name
ALEXANDRA ABRAMS MCCULLOUGH MD
Gender
Female
Entity Type
Individual
Location Address
51 N 39TH ST FL 2 PHILADELPHIA, PA 19104
Location Phone
(215) 662-9600
Location Fax
(215) 243-4666
Mailing Address
6201 GREENLEIGH AVE MIDDLE RIVER, MD 21220
Mailing Phone
(410) 933-0000
Mailing Fax
(410) 500-4266
Is Sole Proprietor?
No
Enumeration Date
05-04-2022
Last Update Date
07-01-2026
Code Navigator

A primary care provider (PCP) like Alexandra Mccullough sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 1800 Orleans St
    Baltimore, MD 21287
    (410) 502-2037

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
License State
MD
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

MD489015 (PA)

Medicare Participation & PECOS Enrollment Status

Alexandra Mccullough is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720723679, enumerated as an "individual" on May 04, 2022.

The provider is located at 51 N 39TH ST FL 2 PHILADELPHIA, PA 19104 and the phone number is (215) 662-9600.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.