Individual provider Active NPI

Eleanor M Haley-Ciulla, NP

  • Adult Health Nurse Practitioner
  • Reading, MA
National Provider Identifier
1326014093
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
166520 Issued in MA
Practice address
30 Newcrossing Rd
Suite 310
Reading, MA 01867-3254
Phone
(781) 944-1166
Fax
(781) 944-1168
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 166520 MA Primary

Addresses

Primary practice location

30 Newcrossing Rd
Suite 310
Reading, MA 01867-3254

Mailing address

30 New Crossing Road
Suite 310
Reading, MA 01867-1314
Phone (781) 944-1166

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050715000019 MA Practitioner - Nurse Practitioner 1951337476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Siegenberg MD PCGroup PAC ID 3375648538, 2 clinicians

Practice addresses (Care Compare)

20 Pondmeadow Dr
Suite 106
Reading, MA 01867-3222
Phone (781) 944-1166

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.5 of 100Reported as group
Quality
86.83
Promoting interoperability
100
Improvement activities
40
Cost
74.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
166520MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David Siegenberg,MD,PC CurrentSince Mar 1, 2007 Accepting new patients
Joseph L Pennacchio, MD Past Accepting new patients
Salil K Midha, MD, PC PastSince Jul 9, 2012 Accepting new patients

Locations

20 Pondmeadow Dr
Ste 106
Reading, MA 01867
Phone (781) 944-1166

30 New Crossing Rd
Ste 310
Reading, MA 01867
Phone (781) 944-1166

Interoperability endpoints

  • Direct secure messaging: ehaleyciulla49148@tuftsmedicine.direct-ci.com

Organizations & group practices 3

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 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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1326014093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NEW CROSSING ROAD",
            "address_2": "SUITE 310",
            "city": "READING",
            "state": "MA",
            "postal_code": "018671314",
            "telephone_number": "781-944-1166",
            "fax_number": "781-944-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NEWCROSSING RD",
            "address_2": "SUITE 310",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673254",
            "telephone_number": "781-944-1166",
            "fax_number": "781-944-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY-CIULLA",
        "first_name": "ELEANOR",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "166520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, MA

Sources for this page

Verify at the official NPI Registry.