Individual provider Active NPI

Anil Kumar Adusumalli, M.D.

  • Anesthesiology Physician
  • Englewood, FL
National Provider Identifier
1275769655
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35.093464 Issued in OH
Practice address
700 Medical Blvd
Englewood, FL 34223-3964
Phone
(703) 483-1607
Fax
(937) 222-2233
NPI assigned
May 31, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35.093464 OH Primary

Addresses

Primary practice location

700 Medical Blvd
Englewood, FL 34223-3964

Mailing address

700 Medical Blvd
Englewood, FL 34223-3964
Phone (703) 483-1607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CA2 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
I20150408000098 NC Practitioner - Anesthesiology 9931255577 Reassigns benefits to 2 organizations
I20200708003565 CA Practitioner - Anesthesiology 9931255577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Regional Anesthesia Associates IncGroup PAC ID 3870964323, 143 clinicians

Practice addresses (Care Compare)

2615 Chester Ave
Bakersfield, CA 93301-2014
Phone (661) 863-3190

Hospital & facility affiliations

  • Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118
  • Emanuel Medical Center Hospital, Turlock, CA, CCN 050179

Merit-based Incentive Payment System (MIPS)

Final score
63.03 of 100Reported as group
Quality
44.74
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Regional Anesthesia Associates Inc Anesthesiology CurrentSince Dec 5, 2023 Accepting new patients
East Carolina Health CurrentSince Nov 1, 2016 Accepting new patients
East Carolina Health Anesthesiology CurrentSince Nov 1, 2016 Accepting new patients
East Carolina Health - Heritage Inc CurrentSince Mar 4, 2015 Accepting new patients
Premier Anesthesia of California, PC Anesthesiology CurrentSince Apr 14, 2020 Accepting new patients
East Carolina Health - Heritage Inc Anesthesiology CurrentSince Mar 4, 2015 Accepting new patients
Gulf Coast Anesthesia Associates Inc Anesthesiology Past Accepting new patients
Wyckoff Heights Medical Center Past Accepting new patients

Locations

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

2139 E Beechwood Ave
Fresno, CA 93720
Phone (559) 322-6600

1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180

1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

2388 N California St
Stockton, CA 95204
Phone (209) 465-2711

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

119 S Locust St
#B
Visalia, CA 93291
Phone (559) 366-7177

500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000

111 Hospital Dr
Tarboro, NC 27886
Phone (252) 641-7700

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1243728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1275769655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MEDICAL BLVD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342233964",
            "telephone_number": "703-483-1607",
            "fax_number": "937-222-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MEDICAL BLVD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342233964",
            "telephone_number": "703-483-1607",
            "fax_number": "937-222-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADUSUMALLI",
        "first_name": "ANIL",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-31",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.093464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

Verify at the official NPI Registry.