Active NPI
Phillip J Cusano, MD
- Anesthesiology Physician
- Bradford, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD435560
- 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.
-
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1013662048
Anesthesiology, CA
-
- Anesthesiology Physician
- Orange, CA
- NPI 1346267267
Anesthesiology, CA
-
- Anesthesiology Physician
- San Ramon, CA
- NPI 1770691859
Anesthesiology, CA
-
- Anesthesiology Physician
- Fresno, CA
- NPI 1578272415
Anesthesiology, CA
-
- Multi-Specialty Clinic/Center
- Manteca, CA
- NPI 1417407636
-
- Anesthesiology Physician
- Elmira, NY
- NPI 1285684373
Anesthesiology
-
- Certified Registered Nurse Anesthetist
- Madera, CA
- NPI 1861020224
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
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Joaquin | Current | Accepting new patients | |
| Premier Anesthesia of California, PC | Anesthesiology | Current | Accepting new patients |
| Coachella Valley Anesthesia a Professional Corporation | Anesthesiology | Current | Accepting new patients |
| Stanislaus Anesthesia, Inc. | Anesthesiology | Current | Accepting new patients |
| County of San Joaquin | Current | Accepting new patients | |
| Allied Anesthesia Medical Group Inc | Anesthesiology | Current | Accepting new patients |
| San Joaquin Faculty Medical Group | Current | Accepting new patients | |
| Valley Regional Anesthesia Associates Inc | Anesthesiology | Current | 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
- pcusano704492@hisp.ehr.sutterhealth.org
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 234708 | NY | |
| Anesthesiology Physician | 207L00000X | MD435560 | PA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012850420 | Medicaid | PA |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.