Individual provider Active NPI

Anthony Jay Dulgeroff, M.D.

  • Internal Medicine Physician
  • Lancaster, CA
National Provider Identifier
1720199763
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G69233 Issued in CA
Practice address
43839 15TH St W
Lancaster, CA 93534-4756
Phone
(661) 945-5984
Fax
(661) 948-1574
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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
EndocrinologyAlso: Emergency Medicine
Education
University of Southern California Keck School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
High Desert Medical Corporation 58 clinicians

Practice addresses (Care Compare)

43839 15TH St W
Lancaster, CA 93534-4756
Phone (661) 945-5984

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
I20090309000045 CA Practitioner - EndocrinologyPractitioner - Internal MedicinePractitioner - Emergency Medicine 9931265402 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G69233CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
High Desert Medical Group Internal Medicine CurrentSince Feb 11, 2008 Accepting new patients
Kenneth V. Miselis, M.D. Inc. Past Accepting new patients
Antelope Valley Health Care District Past Accepting new patients

Locations

43839 15th St W
Lancaster, CA 93534
Phone (661) 945-5984

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: anthony.dulgeroff@direct.hdmg.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G69233 CA Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X G69233 CA

Addresses

NPPES NPI Registry

Primary practice location

43839 15TH St W
Lancaster, CA 93534-4756

Mailing address

PO Box 7007
Lancaster, CA 93539-7007
Phone (661) 945-5984

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00G692330MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2008.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1720199763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7007",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935397007",
            "telephone_number": "661-945-5984",
            "fax_number": "661-948-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43839 15TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344756",
            "telephone_number": "661-945-5984",
            "fax_number": "661-948-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULGEROFF",
        "first_name": "ANTHONY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G69233",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G69233",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G692330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.