John A Bastulli, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

35-05-0645 Issued in OH

Practice address

10515 Carnegie Ave
Cleveland, OH 44106-3016

Phone

(216) 928-0136

Fax

(216) 928-0141

NPI assigned

Sep 15, 2005

Sex

Male

Sole proprietor

No

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

• Ohio Anesthesia Group, Inc

  • Anesthesiology Physician
  • Canton, OH
  • NPI 1639348113

  OH

  Medicare reassignment Care Compare group NPD
• Ambulatory Anesthesia Services, LLC

  • Anesthesiology Physician
  • Willoughby, OH
  • NPI 1922270495
  NPD (past)

Specialty

Anesthesiology

Education

Northeastern Ohio University College of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohio Anesthesia Group, Inc 130 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.79 of 100Reported as group

Quality

71.01

Improvement activities

40

Cost

82.45

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 6, 2010.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1104811264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 CARNEGIE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441063016",
            "telephone_number": "216-928-0136",
            "fax_number": "216-928-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 CARNEGIE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441063016",
            "telephone_number": "216-928-0136",
            "fax_number": "216-928-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTULLI",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35-05-0645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0703144",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aria Bassiri
• Amaya Marie Basta, MD
• Karim Basta
• Estella Bastian
• Evan J Basting, PSY ASST
• Nayara Cioffi Batagini, M.D., PH.D.
• Heya Batah
• Shaima Batayha, MD
• Kayla Marie Batchelor, AGACNP-BC
• Chandra S Batchu, MD

• All providers in Cleveland, OH
• Pain Medicine (Anesthesiology) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.