Organization Active NPI

Thomas a. Ciulla, MD,PC

  • Ophthalmology Physician
  • Indianapolis, IN
National Provider Identifier
1710014105
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
THOMAS A. CIULLA, MD,PC
Practice address
200 W 103Rd St
Suite 1050
Indianapolis, IN 46290-1007
Phone
(317) 817-1822
Fax
(317) 817-1898
NPI assigned
Feb 27, 2007
Last updated
Mar 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Authorized official

Name
Dr. Thomas A. Ciulla, M.D.NPI 1770585838
Title
President
Phone
(317) 817-1822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

200 W 103Rd St
Suite 1050
Indianapolis, IN 46290-1007

Mailing address

200 W 103Rd St
Suite 1050
Indianapolis, IN 46290-1007
Phone (317) 817-1822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080108000026 IN Part B Supplier - Clinic/Group Practice 4688754344 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

155 N Pennsylvania Pkwy
Indianapolis, IN 46280
Phone (317) 817-1822

3525 W Purdue Ave
Muncie, IN 47304
Phone (317) 805-2200

Interoperability endpoints

  • Direct secure messaging: tciulla@meitac.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1710014105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 103RD ST",
            "address_2": "SUITE 1050",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901007",
            "telephone_number": "317-817-1822",
            "fax_number": "317-817-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 103RD ST",
            "address_2": "SUITE 1050",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901007",
            "telephone_number": "317-817-1822",
            "fax_number": "317-817-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A. CIULLA, MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "CIULLA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-817-1822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.