Individual provider Active NPI

Anushi Bulumulle, M.D

  • Hematology & Oncology Physician
  • Monterey, CA
National Provider Identifier
1770996589
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A196489 Issued in CA
Practice address
5 Harris CT., BLDG. T, Ste. 201
Monterey, CA 93940
Phone
(831) 375-4105
NPI assigned
Jun 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A196489 CA Primary
Hematology & Oncology Physician 207RH0003X MD197513 OR

Addresses

Primary practice location

5 Harris CT., BLDG. T, Ste. 201
Monterey, CA 93940

Mailing address

5 Harris CT., BLDG. T, Ste. 201
Monterey, CA 93940-5750
Phone (831) 375-4105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, 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
I20200625001701 OR Practitioner - Hematology/Oncology 1355633439 Reassigns benefits to 2 organizations
I20240913000002 CA Practitioner - Hematology/Oncology 1355633439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bay Area Hospital DistrictGroup PAC ID 2163331000, 117 clinicians
Monterey Bay Oncology a Medical CorporationGroup PAC ID 6507826856, 14 clinicians

Practice addresses (Care Compare)

1775 Thompson Rd
Coos Bay, OR 97420-2125
Phone (541) 269-8280

2650 N 17TH St
Coos Bay, OR 97420-2134
Phone (541) 269-8282

5 Harris CT
Suite 201
Monterey, CA 93940-5750
Phone (831) 375-4105

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A196489CAMDHematology & Oncology Physician
MD197513ORMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Bend Medical Center Inc CurrentSince Aug 1, 2020 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Jan 1, 2025 Accepting new patients
Bay Area Hospital District CurrentSince Oct 1, 2020 Accepting new patients
Monterey Bay Oncology a Medical Corporation Hematology & Oncology CurrentSince Aug 19, 2024 Accepting new patients
Bay Area Hospital District CurrentSince Oct 1, 2020 Accepting new patients
Monterey Bay Oncology a Medical Corporation PastSince Aug 19, 2024 Accepting new patients

Locations

5 Harris Ct
Ste 201
Monterey, CA 93940
Phone (831) 375-4105

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

5 Harris Ct
Bldg T
Monterey, CA 93940
Phone (408) 375-4105

Dept LA 25339
Pasadena, CA 91185

1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

Interoperability endpoints

  • Direct secure messaging: abulumulle131301@secure.stcharleshealthcare.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1770996589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HARRIS CT., BLDG. T, STE. 201",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405750",
            "telephone_number": "831-375-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HARRIS CT., BLDG. T, STE. 201",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "93940",
            "telephone_number": "831-375-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULUMULLE",
        "first_name": "ANUSHI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A196489",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OR",
            "license": "MD197513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.