DR. KELLY ELEANOR MOULTON GULLOTTA M.D.
NPI 1053584086
Pediatrics - Neonatal-Perinatal Medicine in Rochester, NY

Q: What is Kelly Gullotta's NPI number?

The NPI number for Kelly Gullotta is 1053584086. It was assigned to this individual provider in the NPPES registry on April 10, 2008. The provider is also known as Kelly Eleanor Moulton M.D..

Q: What is Kelly Gullotta's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Gullotta was last updated on January 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 10, 2008PECOS Enrolled

601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 273-3919(585) 461-3614 Get Directions Write a Review

NPPES record last updated: January 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kelly Eleanor Moulton Gullotta M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY ELEANOR MOULTON GULLOTTA M.D. (NPI 1053584086) is an individual neonatal-perinatal medicine provider in Rochester, New York, licensed in Connecticut (55918) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053584086

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameDR. KELLY ELEANOR MOULTON GULLOTTACredential: M.D.

Location Address601 ELMWOOD AVERochester, NY 14642-0001

Mailing Address601 Elmwood Ave, Box 635Rochester, NY 14642-0001 · (585) 273-3919 · Fax (585) 461-3614

Phone(585) 273-3919

Fax(585) 461-3614

Sole ProprietorYes

Enumeration DateApril 10, 2008

Last NPPES UpdateJanuary 16, 2017

✔ NPI 1053584086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Licenses✔ Licensed in CT · 55918✔ Licensed in NY · 246762

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

601 ELMWOOD AVE, Rochester, NY 14642

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Other Names 1

Former Name (1)Kelly Eleanor Moulton M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Eleanor Moulton Gullotta M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARIE E BRADT RPA-C

Physician Assistant

601 ELMWOOD AVE
ROCHESTER, NY 14642

Monroe County (585) 275-6070

DR. RITA DADIZ DO

Pediatrics (Neonatal-Perinatal Medicine)

601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642

Monroe County (585) 275-7787

DR. SCOTT ROSS SCHIFFMAN M.D.

Radiology (Diagnostic Radiology)

601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642

Monroe County (585) 275-1128

SARAH ANNE ROSSI FNP

Nurse Practitioner (Family)

601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642

Monroe County (585) 279-5100

JIMENA CUBILLOS MD

Urology (Pediatric Urology)

601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642

Monroe County (585) 275-3342

MRS. ANNE SCHERBERGER KEEFER RN NP

Nurse Practitioner (Adult Health)

601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642

Monroe County (585) 275-5307

SCOTT OVERHOLT DDS

Student in an Organized Health Care Education/Training Program

601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642

Monroe County (585) 275-7978

MS. SARAH L AVERILL MD

Radiology (Diagnostic Radiology)

601 ELMWOOD AVE
ROCHESTER, NY 14642

Monroe County (585) 275-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Gullotta's NPI number?

The NPI number for Kelly Gullotta is 1053584086. It was assigned to this individual provider in the NPPES registry on April 10, 2008. The provider is also known as Kelly Eleanor Moulton M.D..

Where is Kelly Gullotta located?

Kelly Gullotta practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 273-3919.

What is Kelly Gullotta's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Kelly Gullotta enrolled in Medicare?

Yes. Kelly Gullotta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Gullotta was last updated on January 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.