Mary Gulla, M.D.
Individual provider Active NPI Internal Medicine Physician · Sutton, MA
NPI 1902869571 · NPPES record last updated Nov 24, 2020
Key facts
- NPI
- 1902869571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 79095 (MA)
- Practice address
- 188 Worcester Providence Turnpike
Sutton, MA 01590-3157 - Phone
- (508) 865-3650
- NPI assigned
- Apr 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Umass Memorial Medical Group Inc
Practice addresses (Care Compare)
188 Worcester Prov Tpke
Sutton, MA 01590-1908
Phone (508) 865-3650
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Hospital & facility affiliations
- Preferred Transitions Home Health Care Inc
- Umass Memorial Medical Center/University Campus
- Umass Memorial Health - Harrington Hospital
- Milford Regional Medical Center
- St Vincent Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040218000644 | MA | Practitioner - Internal Medicine | 6800781873 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group, Inc. | Current |
Accepting new patients | |
| Umass Memorial Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
Locations
188 Worcester Providence Tpke
Sutton, MA 01590
Phone (508) 865-3650
72 Cudworth Rd
Webster, MA 01570
Phone (508) 461-0011
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- mgulla22811@umassmemorial.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 79095 | MA | Yes |
Addresses
Primary practice location
188 Worcester Providence Turnpike
Sutton, MA 01590-3157
Mailing address
PO Box 415348
Boston, MA 02241-5348
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3131394 | Medicaid | MA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | mgulla22811@UmassMemorial.direct-ci.com |
Other providers in Sutton, MA
- James A Gilbert Jr.
- William James Gillin
- Sarah Glesmann
- Peter Grant
- Kayla Gray
- Gurdian Angel Companion
- Sarah Rose Hall
- Judith Ann Haskins
- Christine Lynn Hassett
- Healthinmotion
All providers in Sutton, MA · Internal Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.