PAMELA R MCCULLOCH MD
NPI 1124018668
Anesthesiology in Fort Wayne, IN

NPI Status: Active since October 26, 2005

Contact Information

5734 COVENTRY LN
FORT WAYNE, IN
ZIP 46804
Phone: (260) 436-7875

Get Directions Reviews

  • Individual
  • Female
  • Years of Experience 44
  • Anesthesiology
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About PAMELA MCCULLOCH

This page provides the complete NPI Profile along with additional information for Pamela Mcculloch, an anesthesiologist established in Fort Wayne, Indiana with a medical specialization in Anesthesiology and more than 44 years of experience. The healthcare provider is registered in the NPI registry with number 1124018668 assigned on October 2005. The practitioner's primary taxonomy code is 207L00000X with license number 01040377 (IN). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1124018668
Provider Name
PAMELA R MCCULLOCH MD
Gender
Female
Entity Type
Individual
Location Address
5734 COVENTRY LN FORT WAYNE, IN 46804
Location Phone
(260) 436-7875
Mailing Address
PO BOX 633260 CINCINNATI, OH 45263
Mailing Phone
(317) 802-6303
Mailing Fax
Medical School Name
OTHER
Graduation Year
1982
Is Sole Proprietor?
No
Enumeration Date
10-26-2005
Last Update Date
10-29-2007
Code Navigator

An anesthesiologist like Pamela Mcculloch manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Location Map

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

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
License No.
01040377
License State
IN
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
057600AAMEDICARE PIN (08)IN 
1003270000MEDICAID (05)IN 
F72280MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Pamela Mcculloch is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Pamela Mcculloch 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

  • PECOS PAC ID: 5294928859

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20101015000414

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

Reviews for PAMELA R MCCULLOCH MD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124018668
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21440116612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 0 + 1 + 1 + 6 + 6 + 1 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1124018668 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851381479 MICHAEL F AMORINI MD
Individual
Anesthesiology5734 COVENTRY LN
FORT WAYNE, IN 46804
(260) 436-7875
1710977335 LAURIE L BRANDON MD
Individual
Anesthesiology5734 COVENTRY LN
FORT WAYNE, IN 46804
(260) 436-7875
1245220896 DENNIS M DEROSA MD
Individual
Anesthesiology5734 COVENTRY LN
FORT WAYNE, IN 46804
(260) 436-7875
1144210790 LURETTA S DESCHNER MD
Individual
Anesthesiology5734 COVENTRY LN
FORT WAYNE, IN 46804
(260) 436-7875
1104816750 DANIEL F GALLAGHER MD
Individual
Anesthesiology5734 COVENTRY LN
FORT WAYNE, IN 46804
(260) 436-7875
1083604649 ROBERT C HATHAWAY MD
Individual
Anesthesiology5734 COVENTRY LN
FORT WAYNE, IN 46804
(260) 436-7875
1972593531 STACEY A HUDSON MD
Individual
Anesthesiology5734 COVENTRY LN
FORT WAYNE, IN 46804
(260) 436-7875
1780674341 GUILIO LACROSS MD
Individual
Anesthesiology5734 COVENTRY LN
FORT WAYNE, IN 46804
(260) 436-7875
1811987464 R ADRIEN GAUTHIER MD
Individual
Anesthesiology5734 COVENTRY LN
FORT WAYNE, IN 46804
(260) 436-7875
1881684348 TAMARA J WHEELER MD
Individual
Anesthesiology5734 COVENTRY LN
FORT WAYNE, IN 46804
(260) 436-7875
1043200488 JAMES M BRACKMANN MD
Individual
Anesthesiology5734 COVENTRY LN
FORT WAYNE, IN 46804
(260) 436-7875
1821088279 MICHAEL R CARTER MD
Individual
Anesthesiology5734 COVENTRY LN
FORT WAYNE, IN 46804
(260) 436-7875
1972593416 KIRK E MASTEN DO
Individual
Anesthesiology5734 COVENTRY LN
FORT WAYNE, IN 46804
(260) 436-7875
1710977269 JEAN M SCHANTZ MD
Individual
Anesthesiology5734 COVENTRY LN
FORT WAYNE, IN 46804
(260) 436-7875
1487644928 VLADIMIR N MURZIN MD
Individual
Anesthesiology5734 COVENTRY LN
FORT WAYNE, IN 46804
(260) 436-7875
1205826757 GREGORY M SOMERVILLE MD
Individual
Anesthesiology5734 COVENTRY LN
FORT WAYNE, IN 46804
(260) 436-7875
1720078280 SIONG H THONG MD
Individual
Anesthesiology5734 COVENTRY LN
FORT WAYNE, IN 46804
(260) 436-7875
1447240577 JOHN F ZEIGER MD
Individual
Anesthesiology5734 COVENTRY LN
FORT WAYNE, IN 46804
(260) 436-7875
1467435305DR. TODD A SIDEL M.D.
Individual
Anesthesiology5734 COVENTRY LN
FORT WAYNE, IN 46804
(260) 436-7875
1609910561 MONROE YODER MD
Individual
Anesthesiology5734 COVENTRY LN
FORT WAYNE, IN 46804
(260) 436-7875

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124018668, enumerated in the NPI registry as an "individual" on October 26, 2005

The provider is located at 5734 Coventry Ln Fort Wayne, In 46804 and the phone number is (260) 436-7875

The provider's speciality is Anesthesiology with taxonomy code 207L00000X

The provider has more than 44 years of experience.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.

This NPI record was last updated on October 26, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.