Mathew Joseph Ulahannan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

170995 Issued in NY

Practice address

1656 Champlin Ave
Utica, NY 13502-4830

Phone

(315) 735-6141

Fax

(315) 735-4391

NPI assigned

May 17, 2006

Last updated

Aug 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mathewulahannanmd@mvmp.medentdirect.com
• Direct secure messaging: ulahannan@hiemail.healtheconnections.org

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.

• Mathew J Ulahannan MD PC

  • Internal Medicine Physician
  • Utica, NY
  • NPI 1366612723
  NPD Authorized official
• Independent Physicians Urgent Care PLLC

  • Family Medicine Physician
  • Utica, NY
  • NPI 1689615395

  Internal Medicine

  NPD (past)
• Sleep Disorders Lab of Central New York, LLC

  • Sleep Specialist (PhD)
  • Utica, NY
  • NPI 1336570589
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1093767956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-735-6141",
            "fax_number": "315-735-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-735-6141",
            "fax_number": "315-735-4391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135016107",
            "country_code": "US",
            "telephone_number": "315-624-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULAHANNAN",
        "first_name": "MATHEW",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "170995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• U.S. Care Systems, Inc
• U.S. Care Systems, Inc
• Ucrn LLC (Focus Rehabilitation and Nursing at Utica)
• Ucrn LLC
• Ucsl LLC (Focus Senior Living at Utica)
• Adam Ullman
• Caitlin A. Ullman, PA
• Debbie Jean Ultsch, CNO
• Hira Unar, MD
• Upstate Cerbral Palsy, Inc

• Internal Medicine Physician in Utica, NY
• Providers in Utica, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.