Active NPI
Anjali Budhathoki, M.D
- Hematology & Oncology Physician
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 316716
- Practice address
- 1580 Commanche Ave
Green Bay, WI 54313-5751 - Phone
- (920) 435-8326
- NPI assigned
- Jul 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 248906 | MA | |
| Hematology & Oncology Physician | 207RH0003X | 83449-20 | WI | |
| Hematology & Oncology Physician | 207RH0003X | 316716 | NY | Primary |
Addresses
Primary practice location
1580 Commanche Ave
Green Bay, WI 54313-5751
Mailing address
3722 82ND St
Jackson Heights, NY 11372-7040
Phone (718) 879-1600
Other practice location 1
3015 3rd Ave SE
Aberdeen, SD 57401-5418
Phone (605) 226-5500
Other practice location 2
3014 Crescent St
Astoria, NY 11102-3249
Phone (718) 808-7777
Other practice location 3
2520 30th Ave
Astoria, NY 11102-2448
Phone (718) 808-7777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1580 Commanche Ave
Green Bay, WI 54313-5751
Phone (920) 435-8326
2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225
820 Arbutus Ave
Oconto, WI 54153-2004
Phone (920) 835-1100
Hospital & facility affiliations
- Bellin Memorial Hospital
- Bellin Health Oconto Hospital
- Aurora Medical Center Bay Area
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248906 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center, Inc. | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Internal Medicine | Current | Accepting new patients |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Internal Medicine | Past | Accepting new patients |
| Bellin Memorial Hospital Inc | Past | Accepting new patients |
Locations
701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141
20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
1580 Commanche Ave
Green Bay, WI 54313
Phone (920) 431-5687
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
Interoperability endpoints
- abudhathoki339010@direct.thedacare.org
Organizations & group practices 13
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.
-
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
-
- Critical Access Hospital
- Oconto, WI
- NPI 1356373302
-
- Critical Access Hospital
- Vermillion, SD
- NPI 1790721280
-
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
Internal Medicine
-
- Rural Health Clinic/Center
- Oconto Falls, WI
- NPI 1285696963
-
- Rural Health Clinic/Center
- Suring, WI
- NPI 1104418037
-
- Rural Health Clinic/Center
- Peshtigo, WI
- NPI 1649628249
-
- Family Medicine Physician
- Vermillion, SD
- NPI 1013921733
-
- Rural Health Clinic/Center
- Mountain Lake, MN
- NPI 1568469039
-
- Rural Health Clinic/Center
- Ipswich, SD
- NPI 1962459842
-
- Family Medicine Physician
- Brillion, WI
- NPI 1962464784
-
- Ophthalmology Physician
- New York, NY
- NPI 1437421252
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marinette, WI
- NPI 1043397177
-
- Clinical Medical Laboratory
- Marinette, WI
- NPI 1083791115
Hospital
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1891740585
-
- Critical Access Hospital
- Oconto, WI
- NPI 1356373302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1548558166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3722 82ND ST",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727040",
"telephone_number": "718-879-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 COMMANCHE AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543135751",
"telephone_number": "920-435-8326"
}
],
"practiceLocations": [
{
"address_1": "3015 3rd Ave SE",
"address_purpose": "LOCATION",
"city": "Aberdeen",
"state": "SD",
"postal_code": "574015418",
"country_code": "US",
"telephone_number": "605-226-5500",
"fax_number": "605-226-5601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3014 Crescent St",
"address_purpose": "LOCATION",
"city": "Astoria",
"state": "NY",
"postal_code": "111023249",
"country_code": "US",
"telephone_number": "718-808-7777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2520 30th Ave",
"address_purpose": "LOCATION",
"city": "Astoria",
"state": "NY",
"postal_code": "111022448",
"country_code": "US",
"telephone_number": "718-808-7777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUDHATHOKI",
"first_name": "ANJALI",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-17",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "248906",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WI",
"license": "83449-20",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "316716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.