Individual provider Active NPI

Phillip J Cusano, MD

  • Anesthesiology Physician
  • Bradford, PA
National Provider Identifier
1619948908
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD435560 Issued in PA
Practice address
116 Interstate Pkwy
Bradford, PA 16701-1036
Phone
(814) 362-8674
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 11

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.

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coachella Valley Anesthesia a Professional Corporation 126 clinicians

Practice addresses (Care Compare)

333 Mercy Ave
Merced, CA 95340-8319
Phone (209) 564-5023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20140916002511 CA Practitioner - Anesthesiology 8820030885 Reassigns benefits to 6 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Joaquin CurrentSince May 29, 2024 Accepting new patients
Premier Anesthesia of California, PC Anesthesiology CurrentSince Feb 1, 2020 Accepting new patients
Coachella Valley Anesthesia a Professional Corporation Anesthesiology CurrentSince Feb 4, 2026 Accepting new patients
Stanislaus Anesthesia, Inc. Anesthesiology CurrentSince Dec 21, 2024 Accepting new patients
County of San Joaquin CurrentSince May 29, 2024 Accepting new patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince Feb 19, 2024 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince May 29, 2024 Accepting new patients
Valley Regional Anesthesia Associates Inc Anesthesiology CurrentSince Dec 11, 2023 Accepting new patients
Associated Anesthesiologists of the Finger Lakes, L.L.P. Anesthesiology Past Accepting new patients
Anesthetix of Bradford, LLC Anesthesiology Past Accepting new patients
Central California Anesthesiology Solutions Past Accepting new patients

Locations

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

1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

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

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

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

609 E Orangeburg Ave
Bldg B
Modesto, CA 95350
Phone (209) 527-6700

1421 Oakdale Rd
Modesto, CA 95355
Phone (209) 572-0151

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

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

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

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

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

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

Interoperability endpoints

  • Direct secure messaging: pcusano704492@hisp.ehr.sutterhealth.org

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 234708 NY
Anesthesiology Physician 207L00000X MD435560 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

116 Interstate Pkwy
Bradford, PA 16701-1036

Mailing address

908 Niagara Falls Blvd
Suite 208
North Tonawanda, NY 14120-2019
Phone (716) 692-2160

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1012850420MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 27, 2013.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1619948908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NIAGARA FALLS BLVD",
            "address_2": "SUITE 208",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202019",
            "telephone_number": "716-692-2160",
            "fax_number": "716-332-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 INTERSTATE PKWY",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011036",
            "telephone_number": "814-362-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSANO",
        "first_name": "PHILLIP",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "234708",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD435560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012850420",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, PA

Sources for this page

Verify at the official NPI Registry.