Active NPI
Mark Bilinyi Ulanja, MD
- Internal Medicine Physician
- Bridgeport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 323827
- Practice address
- 2800 Main St
Bridgeport, CT 06606-4201 - Phone
- (203) 576-5791
- NPI assigned
- Apr 17, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 323827 | LA | Primary |
Addresses
Primary practice location
2800 Main St
Bridgeport, CT 06606-4201
Mailing address
1917 E Chase St
Baltimore, MD 21213-3302
Phone (443) 682-5216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 323827 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
| Southwest Louisiana Physicians, LLC | Internal Medicine | Current | Accepting new patients |
Locations
4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370
524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Lake Charles, LA
- NPI 1972384139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1841644747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1917 E CHASE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212133302",
"telephone_number": "443-682-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066064201",
"telephone_number": "203-576-5791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULANJA",
"first_name": "MARK",
"middle_name": "BILINYI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-17",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "323827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.