Active NPI
Ozlem Pinar Bulut, M.D.
- Pediatric Gastroenterology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 45581
- Practice address
- 1919 E Thomas Rd
Phoenix, AZ 85016-7710 - Phone
- (602) 933-0940
- Fax
- (602) 933-0373
- NPI assigned
- Dec 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Gastroenterology Physician | 2080P0206X | 45581 | AZ | Primary |
Addresses
Primary practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Mailing address
1919 E Thomas Rd
BLDG 2108, Suite 101
Phoenix, AZ 85016-7710
Phone (602) 512-8029
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1501956 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone (602) 933-0930
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45581 | AZ | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| Phoenix Children'S Hospital | Current | Accepting new patients | |
| Phoenix Children'S Hospital Hope | Past | Accepting new patients |
Locations
1665 N Avondale Blvd
Avondale, AZ 85392
Phone (602) 933-0005
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
1919 E Thomas Rd
Bldg 2108
Phoenix, AZ 85016
Phone (602) 512-8030
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814
6990 E Shea Blvd
Ste 104
Scottsdale, AZ 85254
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- Multi-Specialty Clinic/Center
- Glendale, AZ
- NPI 1679703441
-
- Pharmacy
- Phoenix, AZ
- NPI 1386749836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1255515565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 E THOMAS RD",
"address_2": "BLDG 2108, SUITE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167710",
"telephone_number": "602-512-8029",
"fax_number": "602-512-8161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167710",
"telephone_number": "602-933-0940",
"fax_number": "602-933-0373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULUT",
"first_name": "OZLEM PINAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-21",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "AZ",
"license": "45581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1501956",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.