DR. MANGLA S GULATI M.D.
NPI 1740259274
Hospitalist in Baltimore, MD


Quality Rating: 95.17 out of 100 score

NPI Status: Active since March 16, 2006

Contact Information

22 S GREENE ST
BALTIMORE, MD
ZIP 21201
Phone: (410) 328-5793
Fax: (410) 328-0248

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  • Individual
  • Female
  • Hospitalist
  • PECOS Enrolled

About MANGLA GULATI

Mangla Gulati is a provider established in Baltimore, Maryland and her medical specialization is Hospitalist. The healthcare provider is registered in the NPI registry with number 1740259274 assigned on March 2006. The practitioner's primary taxonomy code is 208M00000X with license number D59068 (MD). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1740259274
Provider Name
DR. MANGLA S GULATI M.D.
Gender
Female
Entity Type
Individual
Location Address
22 S GREENE ST BALTIMORE, MD 21201
Location Phone
(410) 328-5793
Location Fax
(410) 328-0248
Mailing Address
PO BOX 64442 BALTIMORE, MD 21264
Mailing Phone
(410) 328-5793
Mailing Fax
(410) 328-0248
Is Sole Proprietor?
No
Enumeration Date
03-16-2006
Last Update Date
02-14-2008
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The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.17, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
License No.
D59068
License State
MD
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Blue Cross Blue Shield
  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
617296-01OTHER (01)MDBLUE CROSS/BLUE SHIELD
H402MEDICARE PIN (08)MD 
1740259274MEDICAID (05)DE 
H71830MEDICARE UPIN (02) 
P00218940MEDICARE PIN (08)MD 

PECOS Enrollment and Medicare Participation Status

Mangla Gulati is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 21201 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $145.45
  • Minimum New Patient Price $63.64
  • Maximum New Patient Price $191.95
  • Average New Patient Copayment $36.36
  • Minimum New Patient Copayment $15.91
  • Maximum New Patient Copayment $47.98

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $112.24
  • Minimum Established Patient Price $19.91
  • Maximum Established Patient Price $156.57
  • Average Established Patient Copayment $28.06
  • Minimum Established Patient Copayment $4.97
  • Maximum Established Patient Copayment $39.14

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 95.17 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 91.23

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for DR. MANGLA S GULATI M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1740259274
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27804518214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 8 + 0 + 4 + 5 + 1 + 8 + 2 + 1 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1740259274 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750383063MS. MALINDA DANIEL DUKE CPNP, CDE
Individual
Nurse Practitioner (Pediatrics)22 S GREENE ST RM N6W84
BALTIMORE, MD 21201
(410) 328-3410
1700881802DR. MARIA BAER MD
Individual
Internal Medicine (Hematology & Oncology)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-8708
1982604773 MICHELLE DUELL CRNA
Individual
Specialist22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6704
1003817131DR. LISA MANUELA MARTINEZ M.D.
Individual
Internal Medicine22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-9595
1164416400DR. KIRSTEN ELLIZABETH LYKE M.D.
Individual
Internal Medicine (Infectious Disease)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-5793
1225023278MR. CHRISTOPHER OUDEKERK CRNA
Individual
Nurse Anesthetist, Certified Registered22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6704
1942296124DR. MARCIA A MCAVOY M.D.
Individual
Radiology (Diagnostic Radiology)22 S GREENE ST DEPT. OF RADIOLOGY
BALTIMORE, MD 21201
(410) 328-3477
1649266610DR. GEORGE W GROSS MD
Individual
Radiology (Diagnostic Radiology)22 S GREENE ST ROOM N2E23
BALTIMORE, MD 21201
(410) 328-5656
1568459733MRS. DARBI NICHOLE ROBINSON CRNP
Individual
Nurse Practitioner22 S GREENE ST NEONATOLOGY DEPARTMENT
BALTIMORE, MD 21201
(410) 328-6717
1376534222DR. PETR FRANTISEK HAUSNER MD
Individual
Internal Medicine (Medical Oncology)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-2567
1427039940 ROGER DAVID BAXTER CRNA
Individual
Nurse Anesthetist, Certified Registered22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6704
1497730592 MAYURIKA GHOSH MD
Individual
Internal Medicine (Infectious Disease)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-2463
1790763993DR. THOMAS M SCALEA M.D.
Individual
Surgery (Trauma Surgery)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6566
1649250622DR. KENT EDWARD KESTER M.D.
Individual
Internal Medicine (Infectious Disease)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6704
1518939925DR. WILLIAM C CHIU M.D.
Individual
Surgery (Trauma Surgery)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6566
1720047129 HEATHER D MANNUEL MD
Individual
Internal Medicine (Medical Oncology)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-2567
1619937539DR. RAJABRATA SARKAR M.D., PH.D.
Individual
Surgery (Vascular Surgery)22 S GREENE ST S10B00
BALTIMORE, MD 21201
(410) 328-5840
1003877093DR. CAROL OVERTON TACKET M.D.
Individual
Internal Medicine (Infectious Disease)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-5793
1215998281DR. PAMELA JAYNE AMELUNG M.D.
Individual
Internal Medicine (Pulmonary Disease)22 S GREENE ST
BALTIMORE, MD 21201
(410) 705-5762
1649231481 PETER EDWIN DARWIN MD
Individual
Internal Medicine (Gastroenterology)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-8729

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740259274, enumerated in the NPI registry as an "individual" on March 16, 2006

The provider is located at 22 S Greene St Baltimore, Md 21201 and the phone number is (410) 328-5793

The provider's speciality is Hospitalist with taxonomy code 208M00000X

The provider might be accepting Blue Cross Blue Shield, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of April 12, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $145.45 with an average copayment of $36.36 for new patient appointments. Established patients should expect a typical charge of $112.24 and an average copayment of 28.06. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on March 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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