Active NPI
Sunil Tulpule, M.D.
- Hematology & Oncology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 64024
- Practice address
- 925 E. McDowell Ave
Phoenix, AZ 85006 - Phone
- (602) 521-3700
- Fax
- (602) 521-3701
- NPI assigned
- Jan 18, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 2500061781 | MO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hematology & Oncology Physician | 207RH0003X | 64024 | AZ | Primary |
Addresses
Primary practice location
925 E. McDowell Ave
Phoenix, AZ 85006
Mailing address
925 E. McDowell Ave
Phoenix, AZ 85006
Phone (602) 521-3700
Other practice location 1
530 New Brunswick Ave
Perth Amboy, NJ 08861-3654
Phone (732) 324-5080
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stulpule376586@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2 | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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
- Hematology/Oncology
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3765 New Haven Rd
Pasadena, CA 91107-2235
525 W Brown Rd
Mesa, AZ 85201-3202
Hospital & facility affiliations
- Banner - University Medical Center Phoenix
- Banner Gateway Medical Center
- Banner Thunderbird Medical Center
- Banner Payson Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.42 of 100
- Quality
- 62.19
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 61.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2500061781 | MO | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Cancer Center Specialists LLC | Current | Accepting new patients | |
| Banner Cancer Center Specialists LLC | Current | Accepting new patients |
Locations
2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450
925 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-4498
Organizations & group practices 2
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.
-
- Oncology Clinic/Center
- Phoenix, AZ
- NPI 1518253152
-
- Oncology Clinic/Center
- Payson, AZ
- NPI 1588158448
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1699884858
-
- Critical Access Hospital
- Payson, AZ
- NPI 1063923340
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1154355188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1366988024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 E. MCDOWELL AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85006",
"telephone_number": "602-521-3700",
"fax_number": "602-521-3701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 E. MCDOWELL AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85006",
"telephone_number": "602-521-3700",
"fax_number": "602-521-3701"
}
],
"practiceLocations": [
{
"address_1": "530 New Brunswick Ave",
"address_purpose": "LOCATION",
"city": "Perth Amboy",
"state": "NJ",
"postal_code": "088613654",
"country_code": "US",
"telephone_number": "732-324-5080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TULPULE",
"first_name": "SUNIL",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-18",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MO",
"license": "2500061781",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "AZ",
"license": "64024",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stulpule376586@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "stulpule376586@direct-ehr-ssmhc.com",
"address_1": "3655 Vista Ave",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631102539",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1225 E Main St.",
"city": "Perry",
"state": "MO",
"country_code": "US",
"postal_code": "634621410",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.