Individual provider Active NPI

Tangela Rochelle Anderson Tull, MD

  • Obstetrics & Gynecology Physician
  • Baltimore, MD
National Provider Identifier
1952536070
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0077741 Issued in MD
Practice address
6610 Tributary St
Suite 206
Baltimore, MD 21224-6514
Phone
(410) 633-6300
Fax
(410) 633-6736
NPI assigned
May 19, 2009
Last updated
Oct 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0077741 MD Primary

Addresses

Primary practice location

6610 Tributary St
Suite 206
Baltimore, MD 21224-6514

Mailing address

301 St. Paul Place
Medical Staff Office
Baltimore, MD 21224-6514
Phone (410) 659-2802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20141111000466 MD Practitioner - Obstetrics/Gynecology 3870715634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Maryland School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Teresa Hoffman M.D. and Associates, LLCGroup PAC ID 9931154267, 12 clinicians

Practice addresses (Care Compare)

301 Saint Paul Place
Medical Staff Office
Baltimore, MD 21202-2102

301 Saint Paul St
Baltimore, MD 21202-2102

7001 Johnnycake Rd
Suite 105
Baltimore, MD 21244-2419
Phone (410) 633-6300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0077741MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teresa Hoffman M.D. and Associates, LLC Obstetrics & Gynecology CurrentSince Sep 7, 2014 Accepting new patients
Teresa Hoffman M.D. and Associates, LLC Obstetrics & Gynecology PastSince Sep 28, 2025 Accepting new patients
Mercy Medical Center Inc Past Accepting new patients

Locations

341 N Calvert St
Ste 200
Baltimore, MD 21202

7001 Johnnycake Rd
Ste 105
Windsor Mill, MD 21244
Phone (410) 633-6300

7001 Johnnycake Rd
Ste 107
Windsor Mill, MD 21244
Phone (410) 255-1400

Interoperability endpoints

  • Direct secure messaging: tandersontull20919@direct.mdmercy.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1952536070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ST. PAUL PLACE",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212246514",
            "telephone_number": "410-659-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 TRIBUTARY ST",
            "address_2": "SUITE 206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212246514",
            "telephone_number": "410-633-6300",
            "fax_number": "410-633-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON TULL",
        "first_name": "TANGELA",
        "middle_name": "ROCHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0077741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.