Active NPI
David B Tarullo, M.D.
- Emergency Medicine Physician
- Casper, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 9672A
- Practice address
- 1233 E 2ND St
Casper, WY 82601-2926 - Phone
- (307) 577-2222
- NPI assigned
- Mar 21, 2011
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 9672A | WY | Primary |
Addresses
Primary practice location
1233 E 2ND St
Casper, WY 82601-2926
Mailing address
PO Box 50770
Casper, WY 82605-0770
Phone (307) 333-6910
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137545800 | Medicaid | WY | |
| 455399 | Medicaid | AZ |
Other names 1
- Dr. David B Price
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140819002819 | WY | Practitioner - Emergency Medicine | 1850519653 | Reassigns benefits to 1 organization |
| I20250527002331 | GA | Practitioner - Emergency Medicine | 1850519653 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Colorado School of Medicine, Aurora, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carrollton Emergency Physicians PC
Practice addresses (Care Compare)
705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 812-9666
Hospital & facility affiliations
- Tanner Medical Center - Carrollton
- Tanner Medical Center Villa Rica
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.51 of 100
- Quality
- 90.63
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9672A | WY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrollton Emergency Physicians, PC | Emergency Medicine | Current | Accepting new patients |
| Memorial Hospital of Converse County | Current | Accepting new patients |
Locations
705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666
601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000
111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200
Interoperability endpoints
- david.tarullo@direct.wyomingmedicalcenter.org
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Carrollton, GA
- NPI 1790724672
Emergency Medicine, GA
Hospital & facility affiliations 2
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": "1300665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553212800000",
"number": "1295034874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50770",
"city": "CASPER",
"state": "WY",
"postal_code": "826050770",
"telephone_number": "307-333-6910",
"fax_number": "307-333-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 E 2ND ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826012926",
"telephone_number": "307-577-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARULLO",
"first_name": "DAVID",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-21",
"last_updated": "2019-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WY",
"license": "9672A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137545800",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "455399",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DAVID",
"last_name": "PRICE",
"middle_name": "B",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.