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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since April 10, 2008PECOS Enrolled
1602 SKIPWITH RD, RICHMOND, VA 23229(804) 289-4951 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 14, 2026, Jan 16, 2017 (2 updates tracked since 2017).

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 Richmond, Virginia, 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 Address1602 SKIPWITH RDRichmond, VA 23229-5205
Mailing Address601 Elmwood Ave, Box 635Rochester, NY 14642-0001 · (585) 273-3919 · Fax (585) 461-3614
Phone(804) 289-4951
Sole ProprietorYes
Enumeration DateApril 10, 2008
Last NPPES UpdateOctober 14, 20262 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ 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✔ Licensed in VA · 1001243724
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.
1602 SKIPWITH RD, Richmond, VA 23229
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Other Names 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Insurance Corporation of Ohio, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kelly Gullotta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore Medical Center
292 mi
Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1760288278 (888) 663-6331
Montefiore New Rochelle Hospital
304 mi
General Acute Care Hospital
100 CORPORATE DR, PROVIDER INFORMATION
Yonkers, NY 10701
  • Reassigned Medicare billing, New York enrollment
  • 211 clinicians in this Medicare group
NPI 1295163244 (914) 377-4722
Mvhs Inc
398 mi
Family Medicine
111 HOSPITAL DR
Utica, NY 13502
  • Reassigned Medicare billing, New York enrollment
  • 657 clinicians in this Medicare group
NPI 1770690737 (315) 917-9966

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MAEVE C BUNI
Physician Assistant
1602 SKIPWITH RD
RICHMOND, VA 23229
Henrico County (804) 289-4500
DR. WILLIAM SCOTT SMITH M.D.
Anesthesiology
1602 SKIPWITH RD
RICHMOND, VA 23229
Henrico County (804) 289-4937
KAREN L HANES CRNA
Nurse Anesthetist, Certified Registered
1602 SKIPWITH RD
RICHMOND, VA 23229
Henrico County (804) 289-4937
DR. MICHAEL FEREBEE
Emergency Medicine
1602 SKIPWITH RD
RICHMOND, VA 23229
Henrico County (757) 329-3754
JOSE LUIS PEREZ LARA M.D.
Internal Medicine (Critical Care Medicine)
1602 SKIPWITH RD
RICHMOND, VA 23229
Henrico County (804) 289-4500
JONATHAN B HULLETT MD
Anesthesiology
1602 SKIPWITH RD
RICHMOND, VA 23229
Henrico County (804) 289-4937
HOSPITALISTS OF VIRGINIA
Hospitalist
1602 SKIPWITH RD
RICHMOND, VA 23229
Henrico County (804) 289-4500
SUSAN COBLE CRNA
Nurse Anesthetist, Certified Registered
1602 SKIPWITH RD
RICHMOND, VA 23229
Henrico County (804) 289-4937

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 1602 Skipwith Rd, Richmond, VA 23229. The listed phone number is (804) 289-4951.

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.

Which organizations bill Medicare for Kelly Gullotta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Gullotta reassigns Medicare benefits to 3 organizations: Montefiore Medical Center (New York, NY), Montefiore New Rochelle Hospital (Yonkers, NY) and Mvhs Inc (Utica, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Gullotta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Gullotta accept?

Health plans from Oscar Health Insurance, Oscar Insurance Corporation of Ohio and Taro Health list Kelly Gullotta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Gullotta was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.