Organization Active NPI

Bear Hill Anesthesia PC

  • Anesthesiology Physician
  • Flagstaff, AZ
National Provider Identifier
1891574372
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
BEAR HILL ANESTHESIA PC
Doing business as
Bear Hill Anesthesia
Practice address
900 N San Francisco St
Flagstaff, AZ 86001-3236
Phone
(928) 779-7000
NPI assigned
Sep 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Dr. David Jun Kumasaka, MDNPI 1598774143
Title
Owner
Phone
(928) 699-5217

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

900 N San Francisco St
Flagstaff, AZ 86001-3236

Mailing address

921 W Grand Canyon Ave
Flagstaff, AZ 86001-5416
Phone (928) 699-5217

Other names 1

  • Bear Hill Anesthesia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240409003667 AZ Part B Supplier - Clinic/Group Practice 5294173209 Receives reassigned benefits from 1 practitioner
Practice locations: Flagstaff, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1891574372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 W GRAND CANYON AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015416",
            "telephone_number": "928-699-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N SAN FRANCISCO ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013236",
            "telephone_number": "928-779-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR HILL ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "KUMASAKA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-699-5217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bear Hill Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.