Individual provider Active NPI

Robyn Ann Puleo, DO

  • Obstetrics & Gynecology Physician
  • Lebanon, NH
National Provider Identifier
1669589701
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
19151 Issued in NH
Practice address
One Medical Center Drive
OB/GYN
Lebanon, NH 03756
Phone
(603) 653-9300
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DO3389 ME
Obstetrics & Gynecology Physician 207V00000X 19151 NH Primary

Addresses

Primary practice location

One Medical Center Drive
OB/GYN
Lebanon, NH 03756

Mailing address

One Medical Center Drive
OB/GYN
Lebanon, NH 03756-0001
Phone (603) 653-9300

Other practice location 1

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-0111

Other identifiers 1

IdentifierTypeStateIssuer
3113583MedicaidNH

Other names 1

  • Robyn Ann Gray Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH, ME3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170905000860 MA Practitioner - Obstetrics/Gynecology 7517916109 Reassigns benefits to 3 organizations
I20180829004652 NH Practitioner - Obstetrics/Gynecology 7517916109 Reassigns benefits to 3 organizations
I20220921000619 ME Practitioner - Obstetrics/Gynecology 7517916109 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of New England, College of Osteo Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LGH Medical Group, Inc.Group PAC ID 3173626751, 165 clinicians

Practice addresses (Care Compare)

295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 788-7344

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth-Hitchcock Clinic Obstetrics & Gynecology CurrentSince Aug 7, 2018 Accepting new patients
Circle Health OBGYN, LLC. Obstetrics & Gynecology CurrentSince Jul 6, 2024 Accepting new patients
Mainehealth CurrentSince Sep 12, 2022 Accepting new patients
Catholic Medical Center CurrentSince Sep 1, 2022 Accepting new patients
Maine Medical Partners CurrentSince May 28, 2023 Accepting new patients
Maine Medical Partners CurrentSince May 28, 2023 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Aug 7, 2018 Accepting new patients
Catholic Medical Center CurrentSince Sep 1, 2022 Accepting new patients
Mainehealth Current Accepting new patients
Maine Medical Partners Obstetrics & Gynecology Current Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Aug 7, 2018 Accepting new patients
Pratt OB/GYN Associates, Inc Obstetrics & Gynecology CurrentSince Dec 15, 2023 Accepting new patients
Mainehealth CurrentSince Sep 12, 2022 Accepting new patients
LGH Medical Group, Inc. CurrentSince Jul 6, 2024 Accepting new patients
The Lowell General Hospital Past Accepting new patients
LGH Womanhealth Obstetrics & Gynecology PastSince Jul 6, 2024 Accepting new patients
LGH Professional Services LLC Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

20 Research Pl
Ste 320
North Chelmsford, MA 01863
Phone (978) 256-1858

887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

5 Washington Pl
Bedford, NH 03110
Phone (603) 314-4567

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

Interoperability endpoints

  • Direct secure messaging: rpuleo324103@direct.dartmouth-hitchcock.org
  • Direct secure messaging: rpuleo555793@direct.mmc.mainehealth.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/

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

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1669589701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER DRIVE",
            "address_2": "OB/GYN",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037560001",
            "telephone_number": "603-653-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER DRIVE",
            "address_2": "OB/GYN",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "03756",
            "telephone_number": "603-653-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULEO",
        "first_name": "ROBYN",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "DO3389",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NH",
            "license": "19151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3113583",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBYN",
            "last_name": "GRAY",
            "middle_name": "ANN",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.