WILLIAM P JR. MCCULLOUGH (M.D.) – Diagnostic Radiology Physician, NPI 1184617664

WILLIAM P JR. MCCULLOUGH (M.D.) is a healthcare provider. based in Santa clara, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. C151779 (CA). The NPI Number for WILLIAM P JR. MCCULLOUGH (M.D.) is 1184617664

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM P JR. MCCULLOUGH (M.D.)
NPI
1184617664
Phone
Not provided
Address
700 LAWRENCE EXPY
Enumeration Date
30 August 2005
Last Update Date
17 December 2021

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
4088511000
Graduation Year
1999 (27 years ago)
PAC ID
3577878818
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20180301000818
Address ID
CA950515173SA710XXWAYX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,800 DIAGNOSTIC RADIOLOGY in CA

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Provider Addresses for WILLIAM P JR. MCCULLOUGH (M.D.)

  • 106 Gift Gallery, 700, Lawrence Expressway, Santa Clara, Santa Clara County, California, 95014-0721, United States

    SANTA CLARA, CA 950515173

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-03-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180301000818IDiagnostic RadiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view3829$0
70450Ct scan head or brain without contrast1818$0
71046X-ray of chest, 2 views1212$0
View full utilization report →

Insurance plans in this area (ZIP 95051)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

How do I look up WILLIAM P JR. MCCULLOUGH (M.D.) by NPI?
Use NPI 1184617664 when you need to reference WILLIAM P JR. MCCULLOUGH (M.D.) in forms, claims, or directories.
Is WILLIAM P JR. MCCULLOUGH (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does WILLIAM P JR. MCCULLOUGH (M.D.) treat or focus on?
Patients typically see WILLIAM P JR. MCCULLOUGH (M.D.) under the specialty Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Does WILLIAM P JR. MCCULLOUGH (M.D.) practice in California?
You will see Santa Clara, California on file for WILLIAM P JR. MCCULLOUGH (M.D.) alongside any extra practice locations.
Is WILLIAM P JR. MCCULLOUGH (M.D.) a real provider?
This page reflects official NPPES data for NPI 1184617664. Always confirm identity and privileges with the practice and licensing boards.

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