NPIMap

Individual provider Active NPI

Carlos Tulla, MD

  • Vascular & Interventional Radiology Physician
  • New York, NY
National Provider Identifier
1609805449
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
161366 Issued in NY
Practice address
622 W 168TH St
New York, NY 10032-3720
Phone
(212) 305-9335
Fax
(212) 305-8636
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 161366-1 NY
Vascular & Interventional Radiology Physician 2085R0204X 161366 NY Primary

Addresses

Primary practice location

622 W 168TH St
New York, NY 10032-3720

Mailing address

622 W 168TH St # 28
New York, NY 10032-3720
Phone (212) 305-1948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071211000033 NY Practitioner - Diagnostic Radiology 4789773995 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Plains Physician Services PCGroup PAC ID 3476894445, 386 clinicians
East Post Road Medical Services PCGroup PAC ID 6406198506, 419 clinicians
Winifred Masterson Burke Rehabilitation HospitalGroup PAC ID 4385551241, 12 clinicians

Practice addresses (Care Compare)

1296 N Ave
New Rochelle, NY 10804-2603
Phone (914) 235-8224

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

785 Mamaroneck Ave
White Plains, NY 10605-2523
Phone (914) 597-2500

Hospital & facility affiliations

  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304
  • Memorial Hospital for Cancer and Allied Diseases Hospital, New York, NY, CCN 330154
  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101
  • Montefiore New Rochelle Hospital Hospital, New Rochelle, NY, CCN 330184

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161366-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC CurrentSince Jan 9, 2021 Accepting new patients
White Plains Hospital Medical Center Diagnostic Radiology CurrentSince Apr 1, 2015 Accepting new patients
Winifred Masterson Burke Rehabilitation Hospital CurrentSince Nov 23, 2019 Accepting new patients
White Plains Hospital Medical Center CurrentSince Apr 1, 2015 Accepting new patients
Winifred Masterson Burke Rehabilitation Hospital CurrentSince Nov 23, 2019 Accepting new patients
White Plains Hospital Medical Center Current Accepting new patients
East Post Road Medical Services PC Diagnostic Radiology CurrentSince Jan 9, 2021 Accepting new patients
Nyumc Radiology Associates Diagnostic Radiology Past Accepting new patients
Coastal Connecticut Radiology Associates, P.C. Diagnostic Radiology Past Accepting new patients
New York University Medical Center Faculty Practice Radiology Diagnostic Radiology Past Accepting new patients
Trustees of Columbia University in the City of New York Diagnostic Radiology Past Accepting new patients
Southwest Connecticut Radiology, LLC Diagnostic Radiology Past Accepting new patients
Phelps Imaging Services,P.C Past Accepting new patients

Locations

600 Mamaroneck Ave
Ste 102
Harrison, NY 10528
Phone (914) 468-1000

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

1296 North Ave
New Rochelle, NY 10804
Phone (914) 235-7435

259 Heathcote Rd
Scarsdale, NY 10583
Phone 9147238100106

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

785 Mamaroneck Ave
White Plains, NY 10605
Phone (914) 597-2257

122 Maple Ave
White Plains, NY 10601
Phone (914) 285-9490

Networks

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

Organizations & group practices 13

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 13

Hospital & facility affiliations 12

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1609805449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST # 28",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-1948",
            "fax_number": "212-305-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-9335",
            "fax_number": "212-305-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLA",
        "first_name": "CARLOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "161366-1",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "161366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.