Thili N Kulatilake, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21515 Issued in AZ

Practice address

4721 N 1St Ave
Tucson, AZ 85718-5610

Phone

(520) 887-0035

Fax

(520) 888-0134

NPI assigned

Sep 25, 2006

Last updated

Apr 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: General Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Thili N Kulatilake MD, PLLC

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1255501599
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1396846390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 N 1ST AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185610",
            "telephone_number": "520-887-0035",
            "fax_number": "520-888-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 N 1ST AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185610",
            "telephone_number": "520-887-0035",
            "fax_number": "520-888-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULATILAKE",
        "first_name": "THILI",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "21515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1344307004",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marla Green Kuhn, LPC
• Marissa Kuhns, M.A.
• Nichole Eve Kuhns, FNP-C
• Rebecca Anne Kuhns, MD
• Jennifer Kuker, FNP-BC
• Ellen Marie Kulesa, CRNA
• Kathleen Cecilia Kulesa, DNP, FNP-C
• Oliver Kuljis Perez
• Abhishek Kulkarni
• Shivani Kulkarni, PA-C, M.S.

• Family Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.