NPIMap

Individual provider Active NPI

Rajesh Tuli, M.D.

  • Diagnostic Radiology Physician
  • Keesler AFB, MS
National Provider Identifier
1982773412
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
27830 Issued in AZ
Practice address
301 Fisher St
Keesler AFB, MS 39534-2508
Phone
(210) 543-8278
Fax
(815) 346-5361
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 27830 AZ Primary

Addresses

Primary practice location

301 Fisher St
Keesler AFB, MS 39534-2508

Mailing address

102 Iberville Landing Dr
Ocean Springs, MS 39564-2863
Phone (210) 543-8278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101025000771 MS Practitioner - Diagnostic Radiology 4183793995 Reassigns benefits to 1 organization
I20240917001447 NJ Practitioner - Diagnostic Radiology 4183793995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Temple University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Physician Assoc IncGroup PAC ID 1355243809, 164 clinicians

Practice addresses (Care Compare)

Ocean Springs, MS 39564
Phone (484) 526-4000

185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (908) 859-6700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27830AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Physician Assoc Inc Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
The Union Hospital Association Past Accepting new patients
Gulf Coast Imaging Past Accepting new patients

Locations

185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1982773412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 IBERVILLE LANDING DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395642863",
            "telephone_number": "210-543-8278",
            "fax_number": "815-346-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 FISHER ST",
            "city": "KEESLER AFB",
            "state": "MS",
            "postal_code": "395342508",
            "telephone_number": "210-543-8278",
            "fax_number": "815-346-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULI",
        "first_name": "RAJESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "27830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keesler AFB, MS

Sources for this page

Verify at the official NPI Registry.