Individual provider Active NPI

Bobby Asif Gulab, MD

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1770708182
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
57012486 Issued in OH
Practice address
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone
(216) 778-5790
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 57012486 OH Primary

Addresses

Primary practice location

2500 Metrohealth Dr
Cleveland, OH 44109-1900

Mailing address

1700 E 13TH St
Apt. 16K
Cleveland, OH 44114-3241

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20121231000162 DE Practitioner - Internal Medicine 4789837618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Concierge Primary Care and Wellness LLCGroup PAC ID 8527412899, 3 clinicians

Practice addresses (Care Compare)

19330 Lighthouse Plaza Blvd
Unit 1
Rehoboth Beach, DE 19971-6161
Phone (302) 585-8555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57012486OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Core Concierge Primary Care and Wellness LLC Internal Medicine CurrentSince Aug 28, 2023 Accepting new patients
Beebe Physician Network Inc. Internal Medicine CurrentSince Oct 1, 2012 Accepting new patients

Locations

1305 Savannah Rd
Ste 1
Lewes, DE 19958
Phone (302) 645-2281

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

19330 Lighthouse Plaza Blvd
Unit 1
Rehoboth Beach, DE 19971
Phone (302) 585-8555

Interoperability endpoints

  • Direct secure messaging: bgulab22720@beebehealth.direct-ci.com
  • Direct secure messaging: bobby.gulab.1@29250.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770708182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E 13TH ST",
            "address_2": "APT. 16K",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441143241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900",
            "telephone_number": "216-778-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULAB",
        "first_name": "BOBBY",
        "middle_name": "ASIF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57012486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.