Individual provider Active NPI

Raul Alberto Ulloa, M.D.

  • Family Medicine Physician
  • Valhalla, NY
National Provider Identifier
1841330107
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
233638 Issued in NY
Practice address
10 Woods Rd
Valhalla, NY 10595-1529
Phone
(914) 231-1085
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 233638 NY Primary

Addresses

Primary practice location

10 Woods Rd
Valhalla, NY 10595-1529

Mailing address

10 Woods Rd
Valhalla, NY 10595-1529
Phone (914) 231-1085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20041116000720 NY Practitioner - Family PracticePractitioner - Internal Medicine 9436113776 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fresh Meadows Physician Practice PLLCGroup PAC ID 0941657811, 33 clinicians
Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians
Rego Park Counseling LLCGroup PAC ID 8921429762, 6 clinicians

Practice addresses (Care Compare)

10 Munson St
Le Roy, NY 14482-8933
Phone (585) 768-2561

143 E Main St
Babylon, NY 11702-3524
Phone (310) 709-1236

6336 99TH St
FL 1
Rego Park, NY 11374-1979
Phone (718) 459-2558

Hospital & facility affiliations

  • Cassena Care at Home Home health agency, Brooklyn, NY, CCN 337441

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peyman Younesi MD PLLC CurrentSince Oct 1, 2023 Accepting new patients
Rye Family Practice PC Family Medicine CurrentSince Mar 1, 2021 Accepting new patients
Rego Park Counseling LLC CurrentSince Jan 3, 2021 Accepting new patients
Fresh Meadows Physician Practice PLLC CurrentSince Jan 1, 2026 Accepting new patients
WB Homecare Adullt& Family Health NP PLLC CurrentSince May 8, 2024 Accepting new patients
Rego Park Counseling LLC Current Accepting new patients
Raul Ulloa Medical PC Family Medicine Current Accepting new patients
Medical Services of Northeastern Queens PLLC CurrentSince Jun 1, 2025 Accepting new patients
Rego Park Counseling LLC CurrentSince Jan 3, 2021 Accepting new patients
Southern Westchester Nephrology PLLC Past Accepting new patients

Locations

143 E Main St
Babylon, NY 11702
Phone (631) 526-9706

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

66 Van Cortlandt Park S
Bronx, NY 10463
Phone (718) 304-1812

1160 Teller Ave
Bronx, NY 10456
Phone (718) 215-4355

561 Utica Ave
Fl 2
Brooklyn, NY 11203
Phone (929) 234-2901

504 Livonia Ave
Brooklyn, NY 11207
Phone (347) 796-1777

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

75 Lake Rd
Ste A
Congers, NY 10920
Phone (914) 729-7999

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

1 Commons Dr
Lake Katrine, NY 12449
Phone (845) 336-6666

10 Munson St
Le Roy, NY 14482
Phone (585) 591-6000

116 E 125th St
New York, NY 10035
Phone (212) 395-9000

692 W 204th St
New York, NY 10034
Phone (212) 942-3369

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 10

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1841330107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WOODS RD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951529",
            "telephone_number": "914-231-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WOODS RD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951529",
            "telephone_number": "914-231-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLOA",
        "first_name": "RAUL",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "233638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.