NPIMap

Individual provider Active NPI

Maryam Gul, MD

  • Nephrology Physician
  • Keene, NH
National Provider Identifier
1144501941
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
17761 Issued in NH
Practice address
590 Court St
Dartmouth Hitchcock - Nephrology
Keene, NH 03431-1719
Phone
(603) 354-5400
NPI assigned
Sep 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125060063 IL
Nephrology Physician 207RN0300X 17761 NH Primary

Addresses

Primary practice location

590 Court St
Dartmouth Hitchcock - Nephrology
Keene, NH 03431-1719

Mailing address

590 Court St
Dartmouth Hitchcock - Nephrology
Keene, NH 03431-1719
Phone (603) 354-6534

Other practice location 1

1 Medical Center Drive
Dartmouth Hitchcock - Nephrology & Hypertension
Lebanon, NH 03756
Phone (603) 650-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161206001544 NH Practitioner - Nephrology 5294033759 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cheshire Medical CenterGroup PAC ID 1456260165, 165 clinicians
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians

Practice addresses (Care Compare)

580 Court St
Keene, NH 03431-1718
Phone (603) 354-5454

590 Court St
Keene, NH 03431-1719
Phone (603) 354-5400

Hospital & facility affiliations

  • FMC Monadnock Dialysis Center Dialysis facility, Keene, NH, CCN 302504
  • Cheshire Medical Center Hospital, Keene, NH, CCN 300019
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
  • Monadnock Community Hospital Hospital, Peterborough, NH, CCN 301309
  • Brattleboro Memorial Hospital Hospital, Brattleboro, VT, CCN 470011
  • Grace Cottage Hospital Hospital, Townshend, VT, CCN 471300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125060063ILMDInternal Medicine Physician
17761NHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cheshire Medical Center Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jan 1, 2019 Accepting new patients
Dartmouth-Hitchcock Clinic Internal Medicine CurrentSince Dec 5, 2016 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jul 25, 2017 Accepting new patients
Mary Hitchcock Memorial Hospital Internal Medicine CurrentSince Jul 25, 2017 Accepting new patients
Cheshire Medical Center Current Accepting new patients

Locations

580 Court St
Keene, NH 03431
Phone (603) 354-5454

590 Court St
Keene, NH 03431
Phone (603) 354-5454

62 Maple Ave
Keene, NH 03431
Phone (603) 308-1467

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

Interoperability endpoints

  • Direct secure messaging: mgul148873@direct.dartmouth-hitchcock.org

Organizations & group practices 6

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144501941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 COURT ST",
            "address_2": "DARTMOUTH HITCHCOCK - NEPHROLOGY",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311719",
            "telephone_number": "603-354-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 COURT ST",
            "address_2": "DARTMOUTH HITCHCOCK - NEPHROLOGY",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311719",
            "telephone_number": "603-354-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Drive",
            "address_2": "Dartmouth Hitchcock - Nephrology & Hypertension",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "03756",
            "country_code": "US",
            "telephone_number": "603-650-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUL",
        "first_name": "MARYAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125060063",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NH",
            "license": "17761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.