Gul Ghutai Manalai, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0079441 Issued in MD

Practice address

106 Pine Bluff Rd
#11
Salisbury, MD 21801-7161

Phone

(410) 742-2255

Fax

(470) 742-2589

NPI assigned

Jul 8, 2012

Last updated

Jul 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gmanalai642775@direct.umm.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tidalhealth Specialty Care, LLC

  • Medical Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1619504735
  Medicare reassignment NPD
• University of Maryland St. Joseph Medical Group, LLC

  dba University of Maryland St. Joseph Medical Group

  • General Practice Physician
  • Towson, MD
  • NPI 1770836785
  Medicare reassignment NPD
• Children's Hospital

  • Children's Hospital
  • Washington, DC
  • NPI 1912939703
  Medicare reassignment NPD
• Children's Hospital

  dba Children's National Specialty Pharmacy

  • Community/Retail Pharmacy
  • Silver Spring, MD
  • NPI 1326878349
  NPD
• University of Maryland St. Joseph Medical Group, LLC

  • Surgical Assistant
  • Towson, MD
  • NPI 1053816074
  NPD
• Children's Hospital

  dba Children's National Medical Associates

  • Pediatrics Physician
  • Washington, DC
  • NPI 1780800128
  NPD
• Mohsin Ansari MD Faap PC

  • Pediatrics Physician
  • Windsor Mill, MD
  • NPI 1427143536
  NPD (past)
• Tidalhealth Peninsula Regional, Inc.

  • General Acute Care Hospital
  • Salisbury, MD
  • NPI 1780689463
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1073878880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PINE BLUFF RD",
            "address_2": "#11",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017161",
            "telephone_number": "410-742-2255",
            "fax_number": "470-742-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PINE BLUFF RD",
            "address_2": "#11",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017161",
            "telephone_number": "410-742-2255",
            "fax_number": "470-742-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALAI",
        "first_name": "GUL",
        "middle_name": "GHUTAI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-08",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125062343",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0079441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0943151 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahmoud Malayeri, MD
• Sufyan Mustafa Malik, M.D.
• Sujata Kunwar Malla, CRNP-PMH
• Andrea D Maloney, RN, CCM
• Avital Maltinski
• Barbara Louise Manry, CRNP
• Caroline G Mansy, FNP
• Juan Sebastian Mantilla Navas, LGPC
• Judith Gail Manuel, OTR
• Reginald Manuel, MD

• Pediatrics Physician in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.