Individual provider Active NPI

Maryam Gul, M.D.

  • Rheumatology Physician
  • Anaheim, CA
National Provider Identifier
1497015192
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A149391 Issued in CA
Practice address
2050 S Euclid St
Anaheim, CA 92802-3111
Phone
(714) 883-7180
NPI assigned
May 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X A149391 CA Primary

Addresses

Primary practice location

2050 S Euclid St
Anaheim, CA 92802-3111

Mailing address

2347 Mangular Ave
Corona, CA 92882-5789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20171117003101 CA Practitioner - Internal MedicinePractitioner - Rheumatology 5193081578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Rheumatology IncGroup PAC ID 4486084688, 2 clinicians

Practice addresses (Care Compare)

2050 S Euclid St
Anaheim, CA 92802-3111
Phone (714) 883-7180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A149391CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Rheumatology, Inc Single Specialty CurrentSince Dec 23, 2019 Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients
Alta Newport Hospital, LLC Past Accepting new patients

Locations

2500 E Ball Rd
Ste 100
Anaheim, CA 92806
Phone (714) 563-0700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1497015192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2347 MANGULAR AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928825789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 S EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928023111",
            "telephone_number": "714-883-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUL",
        "first_name": "MARYAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A149391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.