Active NPI
Anuradha Kanungo, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Carlsbad, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A95848
- Practice address
- 2110 Rutherford Rd
Carlsbad, CA 92008-7328 - Phone
- (760) 516-5120
- NPI assigned
- Jul 31, 2006
- Last updated
- Oct 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95848 | CA | MD | Social Worker |
| A95848 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles Auditor Controller | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| North Shore Hematology Oncology Associates PC | Current | Accepting new patients | |
| MCH Professional Care Hospital Based | Anatomic Pathology & Clinical Pathology | Current | 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.
-
- Specialist
- Port Jefferson Station, NY
- NPI 1396794574
-
dba County of Los Angeles Harbor UCLA Medical Center
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Family Medicine Physician
- Odessa, TX
- NPI 1447547773
Anatomic Pathology & Clinical Pathology
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
dba Los Angeles County Olive View-UCLA Medical Center
- General Acute Care Hospital
- Sylmar, CA
- NPI 1134159320
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.