NPIMap

Individual provider Active NPI

Maryam Gul, MD

  • Internal Medicine Physician
  • Mechanicsburg, PA
National Provider Identifier
1891906103
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD447252 Issued in PA
Practice address
2005 Technology Pkwy Ste 300
Mechanicsburg, PA 17050-9423
Phone
(717) 988-5864
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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 57012139 OH
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD447252 PA
Pulmonary Disease Physician 207RP1001X MD447252 PA
Hospitalist Physician 208M00000X MD447252 PA
Internal Medicine Physician 207R00000X MD447252 PA Primary

Addresses

Primary practice location

2005 Technology Pkwy Ste 300
Mechanicsburg, PA 17050-9423

Mailing address

2005 Technology Pkwy Ste 300
Mechanicsburg, PA 17050-9423
Phone (717) 988-5864

Other practice location 1

850 Tuck St
Lebanon, PA 17042-7477
Phone (717) 272-8173

Other practice location 2

11 Sprint Dr Ste A
Carlisle, PA 17015-7789
Phone (717) 218-1811

Other identifiers 1

IdentifierTypeStateIssuer
103007812MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgul111854@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141114000161 PA Practitioner - Pulmonary Disease 7719109354 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians
Pinnacle Health Hospitalist Services LLCGroup PAC ID 9739313545, 180 clinicians

Practice addresses (Care Compare)

361 Alexander Spring Rd
Carlisle, PA 17015-6940
Phone (717) 231-8772

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57012139OHMDInternal Medicine Physician
MD447252PAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Aug 3, 2020 Accepting new patients
Pinnacle Health Hospitalist Services LLC Internal Medicine CurrentSince Sep 3, 2019 Accepting new patients
Pinnacle Health Regional Physicians Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 3, 2020 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Nov 1, 2019 Accepting new patients
Pinnacle Health Medical Services Internal Medicine Current Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

1533 Commerce Ave
Ste 3
Carlisle, PA 17015
Phone (717) 245-5838

19 Sprint Dr
Ste 2
Carlisle, PA 17015
Phone (717) 218-8880

361 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 249-1211

19 Sprint Dr
Ste 3
Carlisle, PA 17015
Phone (717) 713-2100

11 Sprint Dr
Ste A
Carlisle, PA 17015
Phone (717) 218-1811

1070 Stouffer Ave
Chambersburg, PA 17201
Phone (717) 263-0436

1404 Baltimore St
Ste 4
Hanover, PA 17331
Phone (717) 637-0470

250 Fame Ave
Ste 202
Hanover, PA 17331
Phone (717) 632-9263

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

2005 Technology Pkwy
Ste 300
Mechanicsburg, PA 17050
Phone (717) 782-4785

1701 Innovation Dr
York, PA 17408
Phone (717) 843-8623

Interoperability endpoints

  • Direct secure messaging: mgul289390@upmc.direct-ci.com

Organizations & group practices 7

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1891906103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 TECHNOLOGY PKWY STE 300",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509423",
            "telephone_number": "717-988-5864",
            "fax_number": "717-221-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 TECHNOLOGY PKWY STE 300",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509423",
            "telephone_number": "717-988-5864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Tuck St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427477",
            "country_code": "US",
            "telephone_number": "717-272-8173",
            "fax_number": "717-272-4029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Sprint Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170157789",
            "country_code": "US",
            "telephone_number": "717-218-1811",
            "fax_number": "717-706-6786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUL",
        "first_name": "MARYAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57012139",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD447252",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD447252",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD447252",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD447252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103007812",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgul111854@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "361 Alexander Spring Rd",
            "city": "Carlisle",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170156940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.