Active NPI
Sanjeev Y Tuli, MD
- Pediatrics Physician
- Galveston, TX
National Provider Identifier
1194767749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 48517
- Practice address
- 400 Harborside Dr
Galveston, TX 77555-0001 - Phone
- (409) 772-3695
- Fax
- (409) 772-3680
- NPI assigned
- Jun 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 48517 | TX | Primary |
Addresses
Primary practice location
400 Harborside Dr
Galveston, TX 77555-0001
Mailing address
PO Box 918025
Orlando, FL 32891-8025
Other practice location 1
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 334-1340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252874600 | Medicaid | FL |
Other names 1
- Sanjeev Yashvir Tuli
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Utmb Faculty Group Practice | Pediatrics | Current | Accepting new patients |
Locations
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
Interoperability endpoints
- stuli68827@direct.utmb.edu
Organizations & group practices 3
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.
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1194767749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 918025",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328918025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HARBORSIDE DR",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775550001",
"telephone_number": "409-772-3695",
"fax_number": "409-772-3680"
}
],
"practiceLocations": [
{
"address_1": "1600 SW Archer Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326103003",
"country_code": "US",
"telephone_number": "352-334-1340",
"fax_number": "352-334-1348",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TULI",
"first_name": "SANJEEV",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "48517",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252874600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SANJEEV",
"last_name": "TULI",
"middle_name": "YASHVIR",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.