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MARVIN CRIDDLE CULBERTSON III MD
NPI 1851360309
Pediatrics - Pediatric Emergency Medicine in Plano, TX

Active since March 16, 2006PECOS Enrolled
6200 W PARKER RD, PLANO, TX 75093(972) 981-8000 Get Directions Write a Review

NPPES record last updated: February 5, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marvin Criddle Culbertson Iii Md NPPES

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

MARVIN CRIDDLE CULBERTSON III MD (NPI 1851360309) is an individual pediatric emergency medicine provider in Plano, Texas, licensed in Texas (F9341) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851360309
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameMARVIN CRIDDLE CULBERTSON IIICredential: MD
Location Address6200 W PARKER RDPlano, TX 75093-7939
Mailing AddressPo Box 8549Fort Worth, TX 76124-0549 · (817) 451-4208 · Fax (817) 563-3699
Phone(972) 981-8000
Sole ProprietorNo
Enumeration DateMarch 16, 2006
Last NPPES UpdateFebruary 5, 2008
✔ NPI 1851360309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in TX · F9341
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
6200 W PARKER RD, Plano, TX 75093
Open in Google Maps ↗

Other Identifiers 4

Other0083DBTX · Blue Cross Blue Shield
Medicare ID-Type Unspecified8486B0TX
Medicare PIN00386GTX
Medicare UPIND97298

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marvin Criddle Culbertson Iii 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.

Medicare Billing Reassignment

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

Southeastern Emergency Physicians Of Memphis LLC
550 mi
Emergency Medicine
1 MEMORIAL DR
Alton, IL 62002
  • Reassigned Medicare billing, Tennessee enrollment
  • 29 clinicians in this Medicare group
NPI 1437105277 (618) 463-7474

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

Other Providers at the Same Location NPPES 20

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

DR. MARIA LOVE LEE M.D.
Internal Medicine
6200 W PARKER RD
PLANO, TX 75093
Collin County (972) 293-5151
AISHWARYA JUTTU
Student in an Organized Health Care Education/Training Program
6200 W PARKER RD
PLANO, TX 75093
Collin County (972) 981-7255
PAUL GERARD BOULET
Student in an Organized Health Care Education/Training Program
6200 W PARKER RD
PLANO, TX 75093
Collin County (972) 981-8000
TAYLOR NICOLE MCFARLIN CRNA
Nurse Anesthetist, Certified Registered
6200 W PARKER RD
PLANO, TX 75093
Collin County (972) 981-8000
PHYSICIAN ASSISTANT SERVICES OF TEXAS L.L.P
Physician Assistant (Medical)
6200 W PARKER RD
PLANO, TX 75093
Collin County (972) 599-0080
MR. AHMED Z SYED P.A.
Physician Assistant (Surgical)
6200 W PARKER RD
PLANO, TX 75093
Collin County (214) 808-3559
IJEOMA IKEH NP
Nurse Practitioner (Psychiatric/Mental Health)
6200 W PARKER RD
PLANO, TX 75093
Collin County (864) 529-1674
AMEET VENKAT THATISHETTY MD
Internal Medicine
6200 W PARKER RD
PLANO, TX 75093
Collin County (972) 981-3225

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 Marvin Culbertson's NPI number?

The NPI number for Marvin Culbertson is 1851360309. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Marvin Culbertson located?

Marvin Culbertson practices at 6200 W Parker Rd, Plano, TX 75093. The listed phone number is (972) 981-8000.

What is Marvin Culbertson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Marvin Culbertson enrolled in Medicare?

Yes. Marvin Culbertson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marvin Culbertson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marvin Culbertson reassigns Medicare benefits to Southeastern Emergency Physicians Of Memphis LLC (Alton, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marvin Culbertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marvin Culbertson was last updated on February 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.