Individual provider Active NPI

Christopher O Gulley, M.D.

  • Internal Medicine Physician
  • Amarillo, TX
National Provider Identifier
1265790612
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q4121 Issued in TX
Practice address
1215 S Coulter St
400
Amarillo, TX 79106-1758
Phone
(806) 677-2000
Fax
(806) 356-0045
NPI assigned
Apr 23, 2012
Last updated
May 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X Q4121 TX Primary

Addresses

Primary practice location

1215 S Coulter St
400
Amarillo, TX 79106-1758

Mailing address

1215 S Coulter St
Ste 400
Amarillo, TX 79106-1758
Phone (806) 677-2000

Other identifiers 4

IdentifierTypeStateIssuer
88674703MedicaidNM
200622020 AMedicaidOK
353267301MedicaidTX
353267302MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150805009322 TX Practitioner - Internal Medicine 0143534024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amarillo Medical Specialists,LLPGroup PAC ID 6901880541, 39 clinicians

Practice addresses (Care Compare)

1900 Coulter Dr
Suite O
Amarillo, TX 79106-1753
Phone (806) 358-8331

9092 Westgate Pkwy W
Amarillo, TX 79124-2441
Phone (806) 358-8331

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amarillo Medical Specialists,LLP Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients

Locations

1215 S Coulter St
Ste 200
Amarillo, TX 79106
Phone (806) 350-7311

1215 S Coulter St
Ste 305
Amarillo, TX 79106
Phone (806) 358-1374

1215 S Coulter St
Ste 400
Amarillo, TX 79106
Phone (806) 358-8331

Interoperability endpoints

  • Direct secure messaging: christopher.gulley@almaco.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FDFCAA

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 6

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": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1265790612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S COULTER ST",
            "address_2": "STE 400",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061758",
            "telephone_number": "806-677-2000",
            "fax_number": "806-356-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S COULTER ST",
            "address_2": "400",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061758",
            "telephone_number": "806-677-2000",
            "fax_number": "806-356-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q4121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88674703",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200622020 A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "353267301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "353267302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.