BAGUM KARIMULLAH GULSHAD MSN RN AGNP-C
NPI 1154963544
Nurse Practitioner - Adult Health in Ithaca, NY
About Bagum Karimullah Gulshad Msn Rn Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAGUM KARIMULLAH GULSHAD MSN RN AGNP-C (NPI 1154963544) is an individual adult health provider in Ithaca, New York, licensed in New York (309424) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bagum Karimullah Gulshad Msn Rn Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Bagum Karimullah Gulshad reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60617
- Reassigned Medicare billing, Illinois enrollment
- 343 clinicians in this Medicare group
Elgin, IL 60123
- Reassigned Medicare billing, Illinois enrollment
- 66 clinicians in this Medicare group
Indian Wells, CA 92210
- Reassigned Medicare billing, Illinois enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14850 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ITHACA, NY 14850
ITHACA, NY 14850
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 Bagum Karimullah Gulshad's NPI number?
The NPI number for Bagum Karimullah Gulshad is 1154963544. It was assigned to this individual provider in the NPPES registry on October 17, 2019.
Where is Bagum Karimullah Gulshad located?
Bagum Karimullah Gulshad practices at 101 Dates Dr, Ithaca, NY 14850. The listed phone number is (607) 272-4011.
What is Bagum Karimullah Gulshad's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Bagum Karimullah Gulshad enrolled in Medicare?
Yes. Bagum Karimullah Gulshad is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Bagum Karimullah Gulshad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bagum Karimullah Gulshad reassigns Medicare benefits to 3 organizations: Oak Street Health Physicians Group, PC (Chicago, IL), Chestnut Health Of Illinois LLC (Elgin, IL) and Halo Medical Group (Indian Wells, CA). 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 Bagum Karimullah Gulshad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bagum Karimullah Gulshad accept?
Health plans from Blue Cross and Blue Shield of Texas list Bagum Karimullah Gulshad 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 Bagum Karimullah Gulshad was last updated on October 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Bagum Karimullah Gulshad, MSN RN AGNP-C · NPI 1154963544
Adult Health physician in Ithaca, New York. Individual provider, active in the CMS NPPES registry since October 17, 2019.
## Identity
- **NPI:** 1154963544 (Entity type: Individual)
- **Enumerated:** October 17, 2019
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 309424 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 DATES DR, Ithaca, NY 14850-1383
- **Phone:** (607) 272-4011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Oak Street Health Physicians Group, PC (NPI 1083051643, Chicago, IL); Chestnut Health Of Illinois LLC (NPI 1588043939, Elgin, IL); Halo Medical Group (NPI 1467506451, Indian Wells, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1154963544) · Data from the CMS NPPES public registry.