Individual provider Active NPI

Gul Moonis, MD

  • Neuroradiology Physician
  • Boston, MA
National Provider Identifier
1588690960
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
276494 Issued in NY
Practice address
330 Brookline Ave
Dept of Radiology, Neuroradiology, WCCB-90
Boston, MA 02215-5400
Phone
(617) 754-2010
NPI assigned
Jun 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 276494 NY Primary
Nuclear Radiology Physician 2085N0904X MD066340L PA
Diagnostic Radiology Physician 2085R0202X MD066340L PA

Addresses

Primary practice location

330 Brookline Ave
Dept of Radiology, Neuroradiology, WCCB-90
Boston, MA 02215-5400

Mailing address

330 Brookline Ave
Dept of Radiology, Neuroradiology, WCCB-90
Boston, MA 02215-5400
Phone (617) 754-2010

Other identifiers 1

IdentifierTypeStateIssuer
0017598890005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20150113001086 NY Practitioner - Diagnostic Radiology 1254324197 Reassigns benefits to 6 organizations
I20250611002049 NJ Practitioner - Diagnostic Radiology 1254324197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, shared by 41 NPIs, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923

150 E 32ND St
New York, NY 10016-6058
Phone (212) 263-3049

159 E 53Rd St
New York, NY 10022-4602
Phone (646) 754-3300

180 E Pulaski Rd
Huntington Station, NY 11746-1915
Phone (516) 747-8900

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 538-2000

227 Madison St
New York, NY 10002-7537
Phone (212) 238-7000

2318 31St St
Suite 200
Astoria, NY 11105-2765
Phone (718) 777-7742

259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

660 1St Ave
New York, NY 10016-3295
Phone (212) 263-7300

6915 Austin St
Forest Hills, NY 11375-4255
Phone (718) 544-5100

74 Kent St
Brooklyn, NY 11222-1517
Phone (516) 365-4949

77 Medford Ave
Patchogue, NY 11772-1281
Phone (631) 758-1910

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
276494NYMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Aug 1, 2021 Accepting new patients
New York University CurrentSince Oct 1, 2021 Accepting new patients
New York University CurrentSince Jun 1, 2025 Accepting new patients
Trustees of Columbia University in the City of New York Neuroradiology CurrentSince Aug 1, 2018 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Aug 1, 2021 Accepting new patients
Trustees of Columbia University in the City of New York Diagnostic Radiology CurrentSince Aug 1, 2014 Accepting new patients
Columbiadoctors/Newyork-Presbyterianimaging CurrentSince Oct 1, 2017 Accepting new patients
New York University Current Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Aug 1, 2018 Accepting new patients
Trustees of Columbia University in the City of New York Current Accepting new patients
New York University CurrentSince Oct 1, 2021 Accepting new patients
Spruce MRI Associates Diagnostic Radiology Past Accepting new patients
Univ of Penn Community Radiology Neuroradiology Past Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Past Accepting new patients
MRI Physician Associates, PC Diagnostic Radiology Past Accepting new patients
Trustees of the University of Pennsylvania Past Accepting new patients
Diagnostic Imaging Inc Diagnostic Radiology Past Accepting new patients

Locations

95 Madison Ave
Morristown, NJ 07960
Phone (973) 267-1010

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

51 W 51st St
Ste 300
New York, NY 10019
Phone (212) 342-3666

722 W 168th St
New York, NY 10032
Phone (212) 305-6754

227 Madison St
Fl First
New York, NY 10002
Phone (212) 238-7071

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

227 Madison St
New York, NY 10002
Phone (212) 238-7000

177 Fort Washington Ave
#3128
New York, NY 10032
Phone (212) 923-1555

50 Water St
Fl 3
New York, NY 10004

622 W 168th St
#4100
New York, NY 10032
Phone (212) 305-5123

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: gmoonis470405@nyumc.direct-ci.com
  • Direct secure messaging: gmoonis1692321@nychhc.direct-ci.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 10

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1588690960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "address_2": "DEPT OF RADIOLOGY, NEURORADIOLOGY, WCCB-90",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-754-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "address_2": "DEPT OF RADIOLOGY, NEURORADIOLOGY, WCCB-90",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-754-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONIS",
        "first_name": "GUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": "276494",
            "primary": true
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "PA",
            "license": "MD066340L",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD066340L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017598890005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.