Tangela Rochelle Anderson Tull, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Baltimore, MD
NPI 1952536070 · NPPES record last updated Oct 13, 2014
Key facts
- NPI
- 1952536070
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- D0077741 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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, LLC
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
- Mercy Medical Center Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- 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 |
|---|---|---|---|---|
| I20141111000466 | MD | Practitioner - Obstetrics/Gynecology | 3870715634 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0077741 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teresa Hoffman M.D. and Associates, LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Mercy Medical Center Inc | Past | Accepting new patients | |
| Teresa Hoffman M.D. and Associates, LLC | Obstetrics & Gynecology | Past |
Accepting new patients |
Locations
341 N Calvert St
Ste 200
Baltimore, MD 21202
7001 Johnnycake Rd
Ste 107
Windsor Mill, MD 21244
Phone (410) 255-1400
7001 Johnnycake Rd
Ste 105
Windsor Mill, MD 21244
Phone (410) 633-6300
Interoperability endpoints
- tandersontull20919@direct.mdmercy.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | D0077741 | MD | Yes |
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
Other providers in Baltimore, MD
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- Aaron Xavier Anderson
- Ann L Anderson
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- Austin Anderson
- Ayannoa Anderson
All providers in Baltimore, MD · Obstetrics & Gynecology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2014. 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.