Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peter McCullough, MD

Individual provider Family Medicine Physician · NPI 1467136879

Peter McCullough, MD is a Family Practice in Wichita, Kansas. Qualified in 2023, 3 years ago. Licensed in Kansas.

Years since qualifying
3
Licensed in
KS
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1121 S Clifton Ave
Wichita, KS 67218-2912
Phone: (316) 665-4032
Fax: (316) 665-4032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 94-11602 (KS)

Record details

NPI number1467136879
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2023
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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