DR. LISA ANITA TULLY (MD) – Cardiovascular Disease Physician, NPI 1043485055

DR. LISA ANITA TULLY (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 25MA09709600 (NJ). The NPI Number for DR. LISA ANITA TULLY (MD) is 1043485055

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA ANITA TULLY (MD)
NPI
1043485055
Phone
(973) 656-6280
Address
PO BOX 416457
Enumeration Date
30 April 2008
Last Update Date
11 October 2021

Doctor Profile

Medical School Name
RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Secondary Phone
9738956601
Graduation Year
2008 (18 years ago)
PAC ID
7517273410
Group Practice PAC ID
5890703177
Professional Enrollment ID
I20150908001174
Address ID
NJ078661645RO333XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,297 CARDIOVASCULAR DISEASE (CARDIOLOGY) in NJ

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Provider Addresses for DR. LISA ANITA TULLY (MD)

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022416457

    Phone: (973) 656-6280

    Fax: (973) 290-7495

    Type: Mailing

  • 8, Tempe Wick Road, Washington Corner, Mendham, Morris County, New Jersey, 07945, United States

    MENDHAM, NJ 079451814

    Phone: (973) 543-2288

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 73 Open Payments records for all available years, with a total value of $1,033.

Total Amount is formed as General ($1,033) + Research ($0) + Ownership ($0) = $1,033.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($459).

Total Amount

$1,033

General + Research + Ownership

Payments

73

Total payment records

General Amount

$1,033

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150908001174ICardiovascular Disease (Cardiology)NJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,397674$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report609510$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only568472$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function271268$0
36415Insertion of needle into vein for collection of blood sample210158$0
View full utilization report →

Insurance plans in this area (ZIP 02241)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890703177View full group profile

Reviews

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Frequently asked questions

How is DR. LISA ANITA TULLY (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. LISA ANITA TULLY (MD) with NPI 1043485055.
Does the file indicate DR. LISA ANITA TULLY (MD) is practicing under active NPI?
Directory data currently reports DR. LISA ANITA TULLY (MD) as active.
What taxonomy line describes DR. LISA ANITA TULLY (MD)?
For research purposes, treat DR. LISA ANITA TULLY (MD) as Cardiovascular Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. LISA ANITA TULLY (MD) list a practice location?
Patients near Boston, Massachusetts may find DR. LISA ANITA TULLY (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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