Individual provider Active NPI

Methodius G Tuuli, MD

  • Maternal & Fetal Medicine Physician
  • Providence, RI
National Provider Identifier
1326225202
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MD17439 Issued in RI
Practice address
101 Plain St FL 6
Providence, RI 02903-4829
Phone
(401) 274-1122
Fax
(401) 453-7622
NPI assigned
Jan 23, 2008
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD17439 RI
Maternal & Fetal Medicine Physician 207VM0101X 01080497A IN
Maternal & Fetal Medicine Physician 207VM0101X 2008007864 MO
Maternal & Fetal Medicine Physician 207VM0101X MD17439 RI Primary

Addresses

Primary practice location

101 Plain St FL 6
Providence, RI 02903-4829

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

705 Riley Hospital Dr Ste 4300
Indianapolis, IN 46202-5109
Phone (317) 944-8231

Other practice location 2

4901 Forest Park Ave Ste 710
Ste 710
Saint Louis, MO 63108
Phone (314) 454-8181

Other identifiers 3

IdentifierTypeStateIssuer
1326225202MedicaidMO
ENROLLEDMedicaidIL
300017100MedicaidIN

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address mtuuli322965@eCommunityDirect.com Community Physicians of Indiana Inc
Direct Messaging Address mtuuli@direct.iuhealth.org
Direct Messaging Address mtuuli@direct.carene.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20210304000562 RI Practitioner - Obstetrics/Gynecology 2567533490 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC CurrentSince May 1, 2020 Accepting new patients
Affinity Physicians LLC. Obstetrics & Gynecology CurrentSince May 1, 2020 Accepting new patients
Indiana University Health Care Associates, Inc Past Accepting new patients

Locations

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Interoperability endpoints

  • Direct secure messaging: mtulli53018@direct.eskenazihealth.edu
  • Direct secure messaging: mtuuli@direct.carene.org
  • Direct secure messaging: mtuuli@direct.iuhealth.org
  • Direct secure messaging: mtuuli322965@ecommunitydirect.com

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kent County Memorial HospitalWarwick, RI, CCN 410009 Hospital Corporate Director Jan 1, 2025
Kent County Memorial HospitalWarwick, RI, CCN 41T009 Hospital Corporate Officer Jan 1, 2025
Women & Infants Hospital of Rhode IslandProvidence, RI, CCN 410010 Hospital Corporate Director Jan 1, 2025
Butler HospitalProvidence, RI, CCN 414000 Hospital Corporate Director Jan 1, 2025
Vna of Care New EnglandWarwick, RI, CCN 417006A Home health agency Corporate Director Jan 1, 2026
Vna of Care New EnglandWarwick, RI, CCN 411505A Hospice Corporate Director Jan 1, 2026

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1326225202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PLAIN ST FL 6",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034829",
            "telephone_number": "401-274-1122",
            "fax_number": "401-453-7622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Riley Hospital Dr Ste 4300",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025109",
            "country_code": "US",
            "telephone_number": "317-944-8231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4901 Forest Park Ave Ste 710",
            "address_2": "Ste 710",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "63108",
            "country_code": "US",
            "telephone_number": "314-454-8181",
            "fax_number": "314-747-1429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUULI",
        "first_name": "METHODIUS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-23",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD17439",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IN",
            "license": "01080497A",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MO",
            "license": "2008007864",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "RI",
            "license": "MD17439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326225202",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300017100",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtuuli322965@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "7120 Clearvista Dr Ste 5900",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462561714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtuuli@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "705 Riley Hospital Dr Ste 4300",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtuuli@direct.carene.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "101 Plain St Fl 6",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029034829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.