Individual provider Active NPI

Renuka Dulala, MD

  • Hematology & Oncology Physician
  • Holyoke, MA
National Provider Identifier
1861652240
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
258935 Issued in MA
Practice address
575 Beech St
Holyoke, MA 01040-2223
Phone
(413) 534-2543
Fax
(413) 534-2655
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 258935 MA
Hematology & Oncology Physician 207RH0003X 258935 MA Primary
Hematology (Internal Medicine) Physician 207RH0000X 258935 MA
Hematology & Oncology Physician 207RH0003X 038811 CT
Internal Medicine Physician 207R00000X 038811 CT

Addresses

Primary practice location

575 Beech St
Holyoke, MA 01040-2223

Mailing address

575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2543

Other identifiers 2

IdentifierTypeStateIssuer
010038811CT02OtherCTBLUE CROSS/BLUE SHIELD
001388116MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20140917001985 MA Practitioner - Internal MedicinePractitioner - Hematology/Oncology 4486664281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holyoke Medical Center IncGroup PAC ID 2163419383, 202 clinicians

Practice addresses (Care Compare)

575 Beech St
Holyoke, MA 01040-2223

Hospital & facility affiliations

  • Hospice Life Care Hospice, Holyoke, MA, CCN 221526
  • Holyoke Medical Center Hospital, Holyoke, MA, CCN 220024
  • Mercy Medical Ctr Hospital, Springfield, MA, CCN 220066

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038811CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Mass Physician Associates Inc Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Jul 16, 2014 Accepting new patients
Sound Medical Associates, PC Internal Medicine Current Accepting new patients
Western Mass Physician Associates Inc Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Conncare Inc Internal Medicine Past Accepting new patients

Locations

743 Colonel Ledyard Hwy
Ledyard, CT 06339
Phone (860) 464-2028

8 Davis Rd W
Old Lyme, CT 06371
Phone (860) 304-6682

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

575 Beech St
Fl 2
Holyoke, MA 01040

15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826

Interoperability endpoints

  • Direct secure messaging: renuka.dulala@direct.hmcs.masshiway.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice Life CareHolyoke, MA, CCN 221526 Hospice Operational/Managerial Control (100%) Dec 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 4

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1861652240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 BEECH ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402223",
            "telephone_number": "413-534-2543",
            "fax_number": "413-534-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 BEECH ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402223",
            "telephone_number": "413-534-2543",
            "fax_number": "413-534-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULALA",
        "first_name": "RENUKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "258935",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MA",
            "license": "258935",
            "primary": true
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "MA",
            "license": "258935",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CT",
            "license": "038811",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "038811",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "010038811CT02",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001388116",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.