MICHAEL A CERULLO (MD) – Psychiatry Physician, NPI 1649345026

MICHAEL A CERULLO (MD) is a healthcare provider. based in Middletown, Ohio. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 35086733 (OH). The NPI Number for MICHAEL A CERULLO (MD) is 1649345026

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL A CERULLO (MD)
NPI
1649345026
Phone
(513) 649-8008
Address
4464 S DIXIE HWY
Enumeration Date
21 November 2006
Last Update Date
14 November 2024

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6083242000
Graduation Year
2000 (26 years ago)
PAC ID
8123045648
Group Practice PAC ID
3072425495
Professional Enrollment ID
I20240906000342
Address ID
WI535661569MO515XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

1,382 PSYCHIATRY in IL

Provider Addresses for MICHAEL A CERULLO (MD)

  • 4464, South Dixie Highway, Middletown, Warren County, Ohio, 45005, United States

    MIDDLETOWN, OH 450055464

    Phone: (513) 649-8008

    Fax: (513) 649-8004

    Type: Mailing

  • 2160 S 1ST AVE

    MAYWOOD, IL 601533328

    Phone: (708) 216-9000

    Type: Location

  • 4464 S Dixie Hwy

    Middletown, OH 450055464

    Phone: (513) 649-8008

    Fax: (513) 649-8004

    Type: Location

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: 2024-11-29

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 7 Medicare enrollment records; no due dates published yet.

Enrollment records

7

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
I20051025000020IPsychiatryOHTBD
I20221004002274IPsychiatryNYTBD
I20240815002245IPsychiatryWATBD
I20240906000342IPsychiatryWITBD
I20240928000354IPsychiatryILTBD
I20241007001082IPsychiatryMTTBD
I20241129000287IPsychiatryMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6617$0
90833Psychotherapy with evaluation and management visit, 30 minutes5316$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 45005)

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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: 3072425495View full group profile

Reviews

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Frequently asked questions

How is MICHAEL A CERULLO (MD) identified in CMS data?
CMS-hosted NPPES data lists MICHAEL A CERULLO (MD) with NPI 1649345026.
Can I rely on MICHAEL A CERULLO (MD) being an active provider?
As of the registry snapshot, MICHAEL A CERULLO (MD) is marked active.
What is MICHAEL A CERULLO (MD)'s specialty?
The listing groups MICHAEL A CERULLO (MD) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where is MICHAEL A CERULLO (MD) based?
MICHAEL A CERULLO (MD) is tied to Middletown, Ohio in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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