Individual provider Active NPI

Mark A Tulecke, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Exeter, NH
National Provider Identifier
1356344527
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
11886 Issued in NH
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

Updated by the provider on Jun 2, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
J23428OtherMABCBS MA
133442MedicaidMA
01Y004638NH01OtherNHBCBS NH
30203467MedicaidNH

Other names 1

  • Mark A Tulecke Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060215000248 NH Practitioner - Pathology 9537174388 Reassigns benefits to 1 organization
I20110627000718 MA Practitioner - Pathology 9537174388 Reassigns benefits to 6 organizations

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

LicenseStateTypeSpecialty
11866NHMDInternal Medicine Physician
11886NHMDCytopathology Physician
155848MAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Oct 1, 2020 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Apr 1, 2025 Accepting new patients
Mount Auburn Pathologists, Inc. Anatomic Pathology & Clinical Pathology Current Accepting new patients
Commonwealth Pathology Partners, P.C. Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2011 Accepting new patients
The General Hospital Corporation CurrentSince Feb 15, 2023 Accepting new patients
Brigham & Womens Physicians Organization Inc Anatomic Pathology & Clinical Pathology CurrentSince Dec 1, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.