Individual provider Active NPI

Carmella Giulitto, MD

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1619975042
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35062482 Issued in OH
Practice address
4631 Ridge Ave
Suite B
Cincinnati, OH 45209-1028
Phone
(513) 631-1268
Fax
(513) 366-4121
NPI assigned
Jul 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35062482 OH Primary

Addresses

Primary practice location

4631 Ridge Ave
Suite B
Cincinnati, OH 45209-1028

Mailing address

4631 Ridge Ave
Suite B
Cincinnati, OH 45209-1028
Phone (513) 631-1268

Other identifiers 2

IdentifierTypeStateIssuer
64039316MedicaidKY
0853447MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35062482OHMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1619975042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 RIDGE AVE",
            "address_2": "SUITE B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091028",
            "telephone_number": "513-631-1268",
            "fax_number": "513-366-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 RIDGE AVE",
            "address_2": "SUITE B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091028",
            "telephone_number": "513-631-1268",
            "fax_number": "513-366-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIULITTO",
        "first_name": "CARMELLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35062482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64039316",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0853447",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.