Individual provider Active NPI

Sibel S. Gullo, M.D.

  • Internal Medicine Physician
  • Nicholasville, KY
National Provider Identifier
1154356731
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33508 Issued in KY
Practice address
100 Providence Way
Suite 200
Nicholasville, KY 40356-6031
Phone
(859) 260-5370
Fax
(859) 260-5379
NPI assigned
Jul 11, 2006
Last updated
Dec 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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 33508 KY Primary
Pediatrics Physician 208000000X 33508 KY

Addresses

Primary practice location

100 Providence Way
Suite 200
Nicholasville, KY 40356-6031

Mailing address

PO Box 910670
Lexington, KY 40591-0670
Phone (859) 971-4685

Other identifiers 1

IdentifierTypeStateIssuer
64353089MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgullo4761@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20081216000251 KY Practitioner - Internal Medicine 1850453457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wright State University Boonshoft School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

100 Providence Way
Suite 200
Nicholasville, KY 40356-6033
Phone (859) 260-5370

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33508KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients

Locations

2101 Nicholasville Rd
Ste 204
Lexington, KY 40503
Phone (859) 260-4330

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

100 Providence Way
Ste 200
Nicholasville, KY 40356
Phone (859) 260-5370

Interoperability endpoints

  • Direct secure messaging: sgullo4761@bhkydirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1154356731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910670",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405910670",
            "telephone_number": "859-971-4685",
            "fax_number": "859-971-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PROVIDENCE WAY",
            "address_2": "SUITE 200",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403566031",
            "telephone_number": "859-260-5370",
            "fax_number": "859-260-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLO",
        "first_name": "SIBEL",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "33508",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "33508",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64353089",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgullo4761@bhkydirect.com",
            "affiliation": "N",
            "address_1": "100 Providence Way",
            "address_2": "Suite 200",
            "city": "Nicholasville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "403566031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

Verify at the official NPI Registry.