Individual provider Active NPI

Anuradha Kanungo, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Carlsbad, CA
National Provider Identifier
1821003203
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A95848 Issued in CA
Practice address
2110 Rutherford Rd
Carlsbad, CA 92008-7328
Phone
(760) 516-5120
NPI assigned
Jul 31, 2006
Last updated
Oct 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A95848 CA Primary

Addresses

Primary practice location

2110 Rutherford Rd
Carlsbad, CA 92008-7328

Mailing address

6044 Roselle Meadows TRL
San Diego, CA 92130-6904
Phone (858) 350-4744

Other names 1

  • Dr. Anuradha Kanungo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, NY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180711003875 CA Practitioner - Pathology 0042511495 Reassigns benefits to 1 organization
I20190913001558 TX Practitioner - Pathology 0042511495 Reassigns benefits to 1 organization
I20211018000701 NY Practitioner - Pathology 0042511495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians

Practice addresses (Care Compare)

1500 Route 112
Suite 101
Port Jefferson Station, NY 11776-8054
Phone (631) 751-3000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95848CAMDSocial Worker
A95848CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles Auditor Controller CurrentSince Jul 1, 2018 Accepting new patients
County of Los Angeles CurrentSince Jul 1, 2018 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Oct 15, 2021 Accepting new patients
MCH Professional Care Hospital Based Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2019 Accepting new patients
County of Los Angeles Current Accepting new patients

Locations

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

1500 Route 112
Bldg 1
Port Jefferson Station, NY 11776

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

49 Route 347
Port Jefferson Station, NY 11776
Phone (631) 751-0000

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3538

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1821003203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6044 ROSELLE MEADOWS TRL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306904",
            "telephone_number": "858-350-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 RUTHERFORD RD",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087328",
            "telephone_number": "760-516-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANUNGO",
        "first_name": "ANURADHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A95848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANURADHA",
            "last_name": "KANUNGO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.