Individual provider Active NPI

Ryan Gulla, PA-C

  • Physician Assistant
  • Natick, MA
National Provider Identifier
1396212072
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
313 Speen St
Natick, MA 01760-1538
Phone
(508) 720-3630
NPI assigned
Oct 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

313 Speen St
Natick, MA 01760-1538

Mailing address

313 Speen St
Natick, MA 01760-1538
Phone (508) 720-3630

Other practice location 1

1524 Atwood Ave Ste 140
Johnston, RI 02919-3288
Phone (401) 351-6200

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
I20190710000380 MA Practitioner - Physician Assistant 8729325303 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woonsocket Urgent Care PCGroup PAC ID 1951305168, 23 clinicians
Orthopedics New England IncGroup PAC ID 6800976770, 27 clinicians

Practice addresses (Care Compare)

1 Wrentham St
Bellingham, MA 02019-2532
Phone (508) 318-4466

103 Providence Hwy
East Walpole, MA 02032-1512
Phone (781) 255-0500

2 -4 Mercer Rd
Natick, MA 01760-2452
Phone (508) 318-4466

313 Speen St
Natick, MA 01760-1538
Phone (508) 655-0471

4 Mercer Rd
Natick, MA 01760-2415

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedics New England, Inc CurrentSince Jun 3, 2019 Accepting new patients
Woonsocket Urgent Care, PC CurrentSince Jan 1, 2024 Accepting new patients
Woonsocket Urgent Care PC CurrentSince Jan 1, 2024 Accepting new patients
Orthopedics New England, Inc CurrentSince Jun 3, 2019 Accepting new patients
Orthopedics New England 3, LLC Past Accepting new patients

Locations

1 Wrentham St
Bellingham, MA 02019
Phone (508) 318-4466

103 Providence Hwy
East Walpole, MA 02032
Phone (781) 255-0500

77 W Main St
Hopkinton, MA 01748
Phone (508) 435-5506

2-4 Mercer Rd
Natick, MA 01760
Phone (508) 318-4466

313 Speen St
Natick, MA 01760
Phone (508) 655-0471

2000 Washington St
Ste 322
Newton Lower Falls, MA 02462
Phone (617) 243-6076

Interoperability endpoints

  • Direct secure messaging: gulla.ryan.mwortho@direct.partners.masshiway.net

Organizations & group practices 6

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 1

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": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1396212072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 SPEEN ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601538",
            "telephone_number": "508-720-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 SPEEN ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601538",
            "telephone_number": "508-720-3630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1524 Atwood Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "029193288",
            "country_code": "US",
            "telephone_number": "401-351-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULLA",
        "first_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-31",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.