Individual provider Active NPI

Kiran Sunil Lulla, MD

  • Child & Adolescent Psychiatry Physician
  • Wellesley, MA
National Provider Identifier
1316920101
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
217322 Issued in MA
Practice address
219 Washington St
Wellesley, MA 02481-3105
Phone
(781) 434-8639
NPI assigned
Nov 25, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 217322 MA Primary

Addresses

Primary practice location

219 Washington St
Wellesley, MA 02481-3105

Mailing address

720 Wellesley St
Weston, MA 02493-1000
Phone (781) 237-5687

Other names 1

  • Sanjana Dwarkadas Mehra Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20051213000556 MA Practitioner - Psychiatry 7618998097 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hri Clinics, Inc.Group PAC ID 8022088483, 104 clinicians
Arbour Elder Services, Inc.Group PAC ID 0749192656, 2 clinicians

Practice addresses (Care Compare)

10 I Roessler Rd
Woburn, MA 01801-6208
Phone (781) 932-8114

1082 Davol St
Arbour Counseling Services
Fall River, MA 02720-1108
Phone (508) 678-2833

14 Fordham Rd
Allston, MA 02134-3000
Phone (617) 782-6460

384 Washington St
Norwell, MA 02061-2010

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hri Clinics Inc CurrentSince Nov 22, 2023 Accepting new patients
VHS Acquisition Subsidiary Number 9 Inc CurrentSince Jan 11, 2010 Accepting new patients
Hri Clinics, Inc. CurrentSince Nov 22, 2023 Accepting new patients
Pratt Psychiatric Associates, Inc CurrentSince Aug 15, 2005 Accepting new patients
Child & Family Services, Inc. CurrentSince Aug 22, 2019 Accepting new patients
Kiran S. Lulla MD, PC Child & Adolescent Psychiatry CurrentSince Jun 21, 2022 Accepting new patients
Beacon Hospice, LLC CurrentSince Jan 11, 2010 Accepting new patients

Locations

14 Fordham Rd
Boston, MA 02134
Phone (617) 783-9676

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

67 Union St
Natick, MA 01760
Phone (508) 383-1104

965 Church St
New Bedford, MA 02745
Phone (508) 996-3154

3057 Acushnet Ave
New Bedford, MA 02745
Phone (508) 742-1040

219 Washington St
Wellesley Hls, MA 02481
Phone (781) 384-6760

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1316920101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WELLESLEY ST",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931000",
            "telephone_number": "781-237-5687",
            "fax_number": "617-636-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024813105",
            "telephone_number": "781-434-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LULLA",
        "first_name": "KIRAN",
        "middle_name": "SUNIL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-25",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "217322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANJANA",
            "last_name": "MEHRA",
            "middle_name": "DWARKADAS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.