NPIMap

Individual provider Active NPI

John F Vullo, MD

  • Anesthesiology Physician
  • Charlotte, NC
National Provider Identifier
1295950111
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
57011584 Issued in OH
Practice address
927 East Blvd
Charlotte, NC 28203-5203
Phone
(704) 377-5772
NPI assigned
Apr 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 57011584 OH Primary

Addresses

Primary practice location

927 East Blvd
Charlotte, NC 28203-5203

Mailing address

6865 Amherst Dr Apt 2201
Sagamore Hills, OH 44067-3105
Phone (330) 316-4135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070724000238 NC Practitioner - Anesthesiology 9931200730 Reassigns benefits to 3 organizations
I20200102002508 SC Practitioner - Anesthesiology 9931200730 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Missouri, Kansas City, School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

2435 Forest Dr
Columbia, SC 29204-2026
Phone (803) 256-5300

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57011584OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of North Carolina, PLLC Anesthesiology Current Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince Aug 13, 2015 Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince Aug 13, 2015 Accepting new patients
Musc Community Physicians CurrentSince Aug 1, 2021 Accepting new patients
CHS Anesthesia Services Group Inc Anesthesiology CurrentSince Dec 15, 2015 Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Jun 1, 2007 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Dec 3, 2019 Accepting new patients
Musc Community Physicians Current Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Jun 1, 2007 Accepting new patients
Atlantic Coast Anesthesia Services P.C. Anesthesiology CurrentSince Dec 26, 2023 Accepting new patients
Musc Community Physicians CurrentSince Aug 1, 2021 Accepting new patients

Locations

927 East Blvd
Charlotte, NC 28203
Phone (704) 248-5516

16455 Statesville Rd
Huntersville, NC 28078
Phone (704) 801-3719

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

Organizations & group practices 11

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 4

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295950111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6865 AMHERST DR APT 2201",
            "city": "SAGAMORE HILLS",
            "state": "OH",
            "postal_code": "440673105",
            "telephone_number": "330-316-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 EAST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035203",
            "telephone_number": "704-377-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VULLO",
        "first_name": "JOHN",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "57011584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.