Keith Michael McCullough, PA-C
- Medicare patients, 2024
- 253
- Hospital affiliations
- 1
- Medical groups
- 5
- State license
- 1
- Year NPI issued
- 2019
- Practice address
- 2003 Kootenai Health Way, Coeur D Alene, ID 83814
- Practice phone
- Call (208) 625-4000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Keith McCullough's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Keith Michael McCullough is a physician assistant in Coeur D Alene, Idaho
Keith McCullough practices at Kootenai Health in Coeur D Alene, Idaho, part of Kootenai Health.
Keith McCullough's NPI, 1447800552, was assigned on September 19, 2019. Keith McCullough holds Idaho license PA-1818.
- NPI
- 1447800552NPI Registry (opens in a new tab)
- Medicare PAC ID
- 9436582566
- NPI enumeration date
- September 19, 2019
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (208) 625-4000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 33
- Medical school graduation
- 2019
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Keith Michael McCullough practices at Kootenai Health in Coeur D Alene, Idaho
Keith McCullough's primary practice is Kootenai Health, at 2003 Kootenai Health Way, Coeur D Alene, ID 83814 in Kootenai County. The practice phone is (208) 625-4000.
- Kootenai Health2003 Kootenai Health Way, Coeur D Alene, ID 83814 · Kootenai CountyPhone(208) 625-4000
Source: Dmand AI Affiliation Data
Keith Michael McCullough is affiliated with 3 sites of care and 5 medical groups
Keith McCullough's primary practice is Kootenai Health in Coeur D Alene, Idaho, part of Kootenai Health. The medical group on file is Kootenai Imaging. Dmand AI also links Keith McCullough to 4 more medical groups, 1 group practice or clinic and 1 hospital outpatient department, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Keith Michael McCullough's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Keith McCullough practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Kootenai Health | Available with a free account |
| +2 more sites and 4 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
Dmand AI maps EHR vendors, IT decision makers and buying committees across Kootenai Health and 6.2K+ hospitals, with verified contacts in the same login.
Keith Michael McCullough is one of 1,164 physician assistants in Idaho
Physician assistant is Keith McCullough's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Keith McCullough is licensed in Idaho.
Specialties and state licenses
- Physician assistant, IdahoPrimary
Physician assistants near Keith McCullough
Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Keith Michael McCullough treated 253 Medicare patients in 2024, average age 74
CMS counts 253 Medicare patients who saw Keith McCullough in 2024. The largest group is 65 to 74, with 114 patients. 75% of them have high blood pressure, and 64% have high cholesterol. 15% are also on Medicaid. Their average risk score is 2.12, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Keith McCullough's median patient age at 69, with 54% women.
Keith McCullough's Medicare patients by age, 2024
Keith McCullough's Medicare patients by sex, 2024
- Women13051%
- Men12349%
Chronic conditions among Keith McCullough's Medicare patients, 2024
- High blood pressure75%
- High cholesterol64%
- Arthritis57%
- Chronic kidney disease35%
- Atrial fibrillation34%
- Heart failure34%
- Diabetes32%
- Ischemic heart disease32%
Share of Medicare patients with each condition. A patient can have several.
Keith McCullough's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 69
Patient panel by sex, all payers
- Women54%
- Men46%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
How Keith Michael McCullough takes part in Medicare
Keith McCullough accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Keith Michael McCullough's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Keith Michael McCullough
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Keith Michael McCullough's NPI number?
Keith Michael McCullough's NPI number is 1447800552. It was assigned on September 19, 2019, and it is active in the NPI Registry.
What does Keith Michael McCullough specialize in?
Keith Michael McCullough is a physician assistant in Coeur D Alene, Idaho. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).
Where does Keith Michael McCullough practice?
Keith McCullough practices at 2003 Kootenai Health Way, Coeur D Alene, ID 83814. Keith McCullough's primary practice is Kootenai Health in Coeur D Alene, Idaho, part of Kootenai Health. Dmand AI also links Keith McCullough to 4 medical groups, 1 group practice or clinic and 1 hospital outpatient department.
What is Keith Michael McCullough's office phone number?
The practice phone on file for Keith McCullough is (208) 625-4000.
What is Keith Michael McCullough's medical license number?
Keith McCullough holds Idaho license PA-1818.
Which hospitals is Keith Michael McCullough affiliated with?
Keith McCullough practices at Kootenai Health in Coeur D Alene, Idaho.
What medical group is Keith Michael McCullough part of?
Keith McCullough is linked to Kootenai Imaging. Dmand AI links Keith McCullough to 4 more medical groups.
Does Keith Michael McCullough accept Medicare?
Yes. CMS lists Keith McCullough as accepting Medicare assignment.
How many Medicare patients does Keith Michael McCullough see?
CMS counts 253 Medicare patients who saw Keith McCullough in 2024, with an average age of 74.
How long has Keith Michael McCullough been practicing?
Keith McCullough graduated from medical school in 2019, 7 years ago.
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