Active NPI
Kiran Sunil Lulla, MD
- Child & Adolescent Psychiatry Physician
- Wellesley, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 217322
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hri Clinics Inc | Current | Accepting new patients | |
| VHS Acquisition Subsidiary Number 9 Inc | Current | Accepting new patients | |
| Hri Clinics, Inc. | Current | Accepting new patients | |
| Pratt Psychiatric Associates, Inc | Current | Accepting new patients | |
| Child & Family Services, Inc. | Current | Accepting new patients | |
| Kiran S. Lulla MD, PC | Child & Adolescent Psychiatry | Current | Accepting new patients |
| Beacon Hospice, LLC | Current | 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.
-
- Community/Behavioral Health Agency
- Woburn, MA
- NPI 1598707002
-
- Mental Health Counselor
- New Bedford, MA
- NPI 1205813540
-
- Psychiatry Physician
- Boston, MA
- NPI 1245270875
-
- Psychiatry Physician
- Natick, MA
- NPI 1356384101
-
- Child & Adolescent Psychiatry Physician
- Wellesley, MA
- NPI 1457081135
-
- Internal Medicine Physician
- Framingham, MA
- NPI 1508818618
-
- Community/Behavioral Health Agency
- Norwell, MA
- NPI 1720034705
-
- Community Based Hospice Care Agency
- Marlborough, MA
- NPI 1043335011
-
- Community/Behavioral Health Agency
- Norwell, MA
- NPI 1922123199
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.