NPPES file of Aug 9, 2026

Keith Michael McCullough, PA-C

Physician Assistant · Coeur D Alene, ID

Keith Michael McCullough, PA-C is a physician assistant with a practice address in Coeur D Alene, Idaho, and NPI 1447800552, issued on Sep 19, 2019. Check the license (Idaho PA-1818, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1447800552
Name
Keith Michael McCullough
Credential
PA-C
Primary taxonomy
Physician Assistant 363A00000X
License number
PA-1818 ID
Self-reported in NPPES; status is on the state search
Practice location
700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814
Phone
(208) 625-6300
Enumerated
Sep 19, 2019
Record last updated
Aug 3, 2025
Fax
(208) 625-6301
Medicare enrollment
Enrolled (PECOS I20191204001152); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest physician assistant records → All 1,250 in Idaho → Look up another NPI →

Also registered at 700 W Ironwood Dr Ste 175

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jason Adleberg, MDDiagnostic Radiology Physician1366071516
  2. Bryan Berkey, MDDiagnostic Radiology Physician1114917606
  3. Nicole Burbank, MDDiagnostic Radiology Physician1982621967
  4. Devin Caywood, MDDiagnostic Radiology Physician1962684571
  5. Amit Chakraborty, MDNeuroradiology Physician1932342300
  6. Philip Dougherty, MDDiagnostic Radiology Physician1750647913

Verify Keith Michael McCullough in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Idaho board licenses this profession
    Search for license PA-1818    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Idaho license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Radiology Associates OF North Idaho PACoeur D Alene, ID

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Keith Michael McCullough among 1,250 physician assistant records in Idaho

Keith Michael McCullough, PA-C is one of 1,250 physician assistant records with a practice address in Idaho. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 62% of them.

  • NPI issued2019 · 62% of these records are older, 33% newer
  • In a Medicare fileYes · 87% of these records are
  • In the CMS Doctors and Clinicians fileYes · 77% of these records are
  • Graduated2019 · median 2017 among the 961 with a school on file
  • Record last updated2025 · 35% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

75 physician assistant records list a practice address in Coeur D Alene

They are 75 of the 2,341 NPPES records with a practice address in Coeur D Alene, and 1,250 physician assistant records in Idaho.

All 1,250 in Idaho → Every provider in Coeur D Alene → Physician Assistant nationwide →

The 8 physician assistant records with the nearest ZIP codes

  1. Susan Almeida, PACoeur D Alene, ID 838141518911981
  2. Audrey Buckland, PACoeur D Alene, ID 838141205847373
  3. Thomas Chambers, P.A-CCoeur D Alene, ID 838141407878234
  4. James Dutkiewicz, PACoeur D Alene, ID 838141114992179
  5. Richard Flygare, P.A.-C.Coeur D Alene, ID 838141194819748
  6. Laurie Gallegos, PA-CCoeur D Alene, ID 838141215926258
  7. Travis Headley, PACoeur D Alene, ID 838141659484483
  8. Joanne Huestis, PA-CCoeur D Alene, ID 838141902850449

Common questions

What is Keith Michael McCullough, PA-C's NPI number?

Keith Michael McCullough, PA-C's National Provider Identifier (NPI) is 1447800552, issued on Sep 19, 2019. An NPI identifies a provider in billing; it is not a license.

Where is Keith Michael McCullough, PA-C located?

The NPPES record lists a practice address at 700 W Ironwood Dr Ste 175, Coeur D Alene, ID, 83814. Phone: (208) 625-6300. Providers update this record themselves, so call before visiting.

How can I verify Keith Michael McCullough, PA-C's license?

NPPES lists Idaho license number PA-1818, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.