Individual provider Active NPI

Robert R Bumann, MD

  • Anesthesiology Physician
  • Christiansted, VI
National Provider Identifier
1770538928
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
1210 Issued in VI
Practice address
4007 Diamond Ruby
Christiansted, VI 00820-4417
Phone
(340) 778-6311
NPI assigned
May 24, 2006
Last updated
May 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 1210 VI Primary

Addresses

Primary practice location

4007 Diamond Ruby
Christiansted, VI 00820-4417

Mailing address

PO Box 629
Christiansted, VI 00821-0629
Phone (340) 719-6519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150119000222 HI Practitioner - Anesthesiology 3274557954 Reassigns benefits to 2 organizations
I20170721002854 CA Practitioner - Anesthesiology 3274557954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia and Analgesia Medical Group IncGroup PAC ID 1153316112, 73 clinicians

Practice addresses (Care Compare)

1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 546-3210

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
56.43 of 100Reported as individual
Quality
30
Improvement activities
40
Cost
57.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1210VIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Anesthesia Medical Group Inc Anesthesiology CurrentSince Jan 1, 2015 Accepting new patients
Pec Anesthesia LLC CurrentSince Dec 5, 2015 Accepting new patients
Anesthesia & Analgesia Medical Group, Inc. Anesthesiology CurrentSince Jun 6, 2017 Accepting new patients
Michelle N. Dizon, M.D., P.C. Past Accepting new patients

Locations

1375 University St
Healdsburg, CA 95448
Phone (707) 385-2025

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

380 Tesconi Ct
Santa Rosa, CA 95401
Phone (707) 544-3375

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

134 Puuhonu Way
Hilo, HI 96720
Phone (808) 935-1956

1360 S Beretania St
Ste 204
Honolulu, HI 96814
Phone (800) 781-7237

1029 Makolu St
Ste H
Pearl City, HI 96782
Phone (808) 456-6420

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1770538928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008210629",
            "telephone_number": "340-719-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 DIAMOND RUBY",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204417",
            "telephone_number": "340-778-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMANN",
        "first_name": "ROBERT",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VI",
            "license": "1210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, VI

Sources for this page

Verify at the official NPI Registry.