NPIMap

Individual provider Active NPI

Amy D McMullen, M.D.

  • Hematology & Oncology Physician
  • Santa Cruz, CA
National Provider Identifier
1205860954
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A100403 Issued in CA
Practice address
1669 Dominican Way
Santa Cruz, CA 95065-1523
Phone
(831) 475-2220
NPI assigned
Jul 10, 2006
Last updated
Jul 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A100403 CA
Hematology & Oncology Physician 207RH0003X A100403 CA Primary

Addresses

Primary practice location

1669 Dominican Way
Santa Cruz, CA 95065-1523

Mailing address

1669 Dominican Way
Santa Cruz, CA 95065-1523
Phone (831) 475-2220

Other names 1

  • Amy D Slansky Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100830000752 CA Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology 0143325944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Washington University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Coast Oncology and HematologyGroup PAC ID 0143398735, 2 clinicians

Practice addresses (Care Compare)

1669 Dominican Way
Santa Cruz, CA 95065-1523
Phone (831) 475-2220

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.4 of 100Reported as group
Quality
54.78
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A100403CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Oncology & Hematology Hematology & Oncology CurrentSince Jul 1, 2010 Accepting new patients
Dignity Health Past Accepting new patients

Locations

1669 Dominican Way
Santa Cruz, CA 95065
Phone (408) 462-1000

Interoperability endpoints

  • Direct secure messaging: amcmullen230290@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1205860954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 DOMINICAN WAY",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651523",
            "telephone_number": "831-475-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 DOMINICAN WAY",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651523",
            "telephone_number": "831-475-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "AMY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A100403",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A100403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SLANSKY",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.