Luciano Sztulman, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

10209 Issued in RI

Practice address

1 Randall SQ
Suite 401
Providence, RI 02904-2709

Phone

(401) 521-1006

Fax

(401) 521-1009

NPI assigned

Jul 20, 2006

Sex

Male

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 RI

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

Gynecological Oncology

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005

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 and National Provider Directory roles.

• Luciano Sztulman MD Inc

  • Obstetrics & Gynecology Physician
  • Providence, RI
  • NPI 1588685754
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prospect Chartercare Sjhsri, LLC

  dba Our Lady of Fatima Hospital

  • General Acute Care Hospital
  • North Providence, RI
  • NPI 1871918870
  Care Compare affiliation

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669492070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RANDALL SQ",
            "address_2": "SUITE 401",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042709",
            "telephone_number": "401-521-1006",
            "fax_number": "401-521-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RANDALL SQ",
            "address_2": "SUITE 401",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042709",
            "telephone_number": "401-521-1006",
            "fax_number": "401-521-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZTULMAN",
        "first_name": "LUCIANO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "10209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9021290",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Sylvia, MSW
• Scott Wayne Sylvia, OD/MBA
• Richard T Synnott, MSW
• Christina M Szermer, OTR/L
• Klaudia Maria Szmacinski
• Tadeusz Adam Sztykowski, DAC
• Lisa B. Szumita, PHARM.D., CDE
• T. Frias Counseling LLC
• Yaw Tachie-Baffour, MD
• Kimberly Ann Tack

• Obstetrics & Gynecology Physician in Providence, RI
• Providers in Providence, RI by specialty
• Obstetrics & Gynecology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.