DR. MICHAEL REID MCCULLOUGH (DO) – Obstetrics Physician, NPI 1932135704

DR. MICHAEL REID MCCULLOUGH (DO) is a healthcare provider. based in Grand prairie, Texas. specializing in Obstetrics Physician. They hold the professional credentials DO. They hold a License No. H9682 (TX). The NPI Number for DR. MICHAEL REID MCCULLOUGH (DO) is 1932135704

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL REID MCCULLOUGH (DO)
NPI
1932135704
Phone
(972) 988-1588
Address
643 S GREAT SOUTHWEST PKWY
Enumeration Date
24 June 2006
Last Update Date
18 January 2022

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
-
Graduation Year
1986 (40 years ago)
PAC ID
3375454473
Professional Enrollment ID
I20110420000443
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MICHAEL REID MCCULLOUGH (DO)

  • Great Southwest Parkway, Riverside Business Park, Grand Prairie, Tarrant County, Texas, 76155, United States

    SUITE 101

    GRAND PRAIRIE, TX 750511056

    Phone: (972) 988-1588

    Fax: (972) 602-0615

    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)

CMS reports 25 Open Payments records for all available years, with a total value of $494.

Total Amount is formed as General ($494) + Research ($0) + Ownership ($0) = $494.

Last reported payment date: 2024-04-09 • Largest payer in this snapshot: ABBVIE INC. ($147).

Total Amount

$494

General + Research + Ownership

Payments

25

Total payment records

General Amount

$494

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-04-20

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
I20110420000443IObstetrics/GynecologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75051)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. MICHAEL REID MCCULLOUGH (DO)'s NPI?
Yes. DR. MICHAEL REID MCCULLOUGH (DO) is listed with NPI 1932135704 in the public NPI dataset.
Does the file indicate DR. MICHAEL REID MCCULLOUGH (DO) is practicing under active NPI?
Directory data currently reports DR. MICHAEL REID MCCULLOUGH (DO) as active.
What taxonomy line describes DR. MICHAEL REID MCCULLOUGH (DO)?
For research purposes, treat DR. MICHAEL REID MCCULLOUGH (DO) as Obstetrics Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MICHAEL REID MCCULLOUGH (DO)?
DR. MICHAEL REID MCCULLOUGH (DO)'s geographic hint is Grand Prairie, Texas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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