Individual provider Active NPI

Anuradha Dubey, MD

  • Pediatrics Physician
  • Modesto, CA
National Provider Identifier
1588646004
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A87166 Issued in CA
Practice address
4312 Spyres Way
Modesto, CA 95356-9259
Phone
(209) 497-6767
Fax
(209) 497-6565
NPI assigned
Nov 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A87166 CA Primary

Addresses

Primary practice location

4312 Spyres Way
Modesto, CA 95356-9259

Mailing address

4312 Spyres Way
Modesto, CA 95356-9259
Phone (209) 497-6767

Other practice location 1

1524 McHenry Ave
Suite Number 520
Modesto, CA 95350-4500
Phone (209) 497-6767

Other identifiers 1

IdentifierTypeStateIssuer
00A871660OtherCABLUE SHIELD OF CA PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anuradha Dubey, M.D., Inc Pediatrics Current Accepting new patients
Sutter Gould Medical Foundation Past Accepting new patients

Locations

4312 Spyres Way
Modesto, CA 95356
Phone (209) 233-5718

1524 McHenry Ave
Ste 520
Modesto, CA 95350
Phone (209) 527-5555

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: adubey@afk-ca.direct.office.nextgen.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1588646004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 SPYRES WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569259",
            "telephone_number": "209-497-6767",
            "fax_number": "209-497-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 SPYRES WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569259",
            "telephone_number": "209-497-6767",
            "fax_number": "209-497-6565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1524 McHenry Ave",
            "address_2": "Suite Number 520",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953504500",
            "country_code": "US",
            "telephone_number": "209-497-6767",
            "fax_number": "209-497-6565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBEY",
        "first_name": "ANURADHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2023-03-07",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A87166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA PIN",
            "identifier": "00A871660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.