Active NPI
Mark A Tulecke, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Exeter, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 11886
- Practice address
- 1 Hampton Rd
Unit 208
Exeter, NH 03833-4849 - Phone
- (603) 778-8522
- Fax
- (603) 778-1602
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 11886 | NH | |
| Cytopathology Physician | 207ZC0500X | 155848 | MA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 11886 | NH | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 155848 | MA |
Addresses
Primary practice location
1 Hampton Rd
Unit 208
Exeter, NH 03833-4849
Mailing address
PO Box 100519
Atlanta, GA 30384-0519
Phone (888) 208-6228
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J23428 | Other | MA | BCBS MA |
| 133442 | Medicaid | MA | |
| 01Y004638NH01 | Other | NH | BCBS NH |
| 30203467 | Medicaid | NH |
Other names 1
- Mark A Tulecke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Texas Medical School at Houston, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
170 Governors Ave
Medford, MA 02155-1643
Phone (781) 395-4909
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
67 Corporate Dr
Portsmouth, NH 03801-2847
789 Central Ave
Dover, NH 03820-2526
Phone (603) 742-5252
81 Highland Ave
Salem, MA 01970-2714
Phone (978) 354-4181
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11866 | NH | MD | Internal Medicine Physician |
| 11886 | NH | MD | Cytopathology Physician |
| 155848 | MA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Medical Group Northern Massachusetts Inc | Current | Accepting new patients | |
| Mass General Brigham Community Physicians Inc | Current | Accepting new patients | |
| Mount Auburn Pathologists, Inc. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Commonwealth Pathology Partners, P.C. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| The General Hospital Corporation | Current | Accepting new patients | |
| Brigham & Womens Physicians Organization Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| General Hospital Corp | Current | Accepting new patients |
Locations
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
Boston, MA 02114
75 Francis St
Boston, MA 02115
330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000
500 Lynnfield St
Lynn, MA 01904
Phone (781) 477-3940
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
400 Highland Ave
Ste 6
Salem, MA 01970
Phone (781) 599-0220
400 Highland Ave
Salem, MA 01970
Phone (781) 599-0220
81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009
400 Highland Ave
Ste 1
Salem, MA 01970
Phone (978) 741-9500
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
67 Corporate Dr
#300
Portsmouth, NH 03801
Phone (603) 516-0092
Interoperability endpoints
- tulecke.mark.mgh@direct.partners.masshiway.net
Organizations & group practices 8
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.
-
- Cardiovascular Disease Physician
- Medford, MA
- NPI 1548638265
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
NH
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
Anatomic Pathology & Clinical Pathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Salem, MA
- NPI 1114032976
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Anatomic Pathology & Clinical Pathology Physician
- Cambridge, MA
- NPI 1194830471
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1356344527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100519",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303840519",
"telephone_number": "888-208-6228",
"fax_number": "603-778-1602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HAMPTON RD",
"address_2": "UNIT 208",
"city": "EXETER",
"state": "NH",
"postal_code": "038334849",
"telephone_number": "603-778-8522",
"fax_number": "603-778-1602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TULECKE",
"first_name": "MARK",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "NH",
"license": "11886",
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "MA",
"license": "155848",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NH",
"license": "11886",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MA",
"license": "155848",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J23428",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133442",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NH",
"identifier": "01Y004638NH01",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30203467",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARK",
"last_name": "TULECKE",
"middle_name": "A",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Exeter, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.