Individual provider Active NPI

Ish Kumar Gulati, MD

  • Neonatal-Perinatal Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1063629962
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
35-094268 Issued in OH
Practice address
3700 Parterre CT
Bakersfield, CA 93311-9933
Phone
(661) 412-4785
Fax
(661) 381-7374
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 35-094268 OH Primary

Addresses

Primary practice location

3700 Parterre CT
Bakersfield, CA 93311-9933

Mailing address

PO Box 60128
Bakersfield, CA 93386-0128
Phone (661) 412-4785

Other identifiers 1

IdentifierTypeStateIssuer
3156650MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250121003354 GU Practitioner - Pediatric MedicinePractitioner - Other (Physician) 4183895535 Reassigns benefits to 1 organization
I20250422002894 AR Practitioner - Pediatric Medicine 4183895535 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-094268OHMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Services Current Accepting new patients
Baptist Health Services CurrentSince May 1, 2025 Accepting new patients
Ish Gulati MD Inc Neonatal-Perinatal Medicine CurrentSince Apr 9, 2024 Accepting new patients
Guam Memorial Hospital CurrentSince Nov 16, 2024 Accepting new patients
Guam Memorial Hospital CurrentSince Nov 16, 2024 Accepting new patients
Nationwide Children's Hospital Past Accepting new patients

Locations

1500 Dodson Ave
Ste 260A
Fort Smith, AR 72901
Phone (479) 709-7337

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

Interoperability endpoints

  • Direct secure messaging: igulati791579@direct.baptist-healthar.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1063629962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60128",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933860128",
            "telephone_number": "661-412-4785",
            "fax_number": "661-381-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 PARTERRE CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119933",
            "telephone_number": "661-412-4785",
            "fax_number": "661-381-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULATI",
        "first_name": "ISH",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "OH",
            "license": "35-094268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3156650",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.