Individual provider Active NPI

Krishna Anurag Pulumati, MD

  • Cardiovascular Disease Physician
  • Pomona, CA
National Provider Identifier
1982044244
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A156749 Issued in CA
Practice address
1866 N Orange Grove Ave Ste 202
Pomona, CA 91767-3042
Phone
(909) 623-8796
Fax
(909) 623-3076
NPI assigned
Jul 1, 2013
Last updated
Dec 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A156749 CA Primary

Addresses

Primary practice location

1866 N Orange Grove Ave Ste 202
Pomona, CA 91767-3042

Mailing address

2636 Chad Zeller LN
Corona, CA 92882-8057
Phone (562) 363-5555

Other practice location 1

8330 Red Oak St Ste 101
Rancho Cucamonga, CA 91730-0603
Phone (909) 987-4922

Other practice location 2

5385 Walnut Ave Ste 3&4
Chino, CA 91710-2605
Phone (909) 465-0292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190709000349 CA Practitioner - Cardiovascular Disease (Cardiology) 7810235827 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chaparral Medical Group IncGroup PAC ID 6800709403, shared by 2 NPIs, 66 clinicians

Practice addresses (Care Compare)

1866 N Orange Grove Ave
Suite 202
Pomona, CA 91767-3042
Phone (909) 623-8796

8330 Red Oak St
Suite 201
Rancho Cucamonga, CA 91730-0603
Phone (909) 987-2528

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.08 of 100Reported as group
Quality
40.87
Promoting interoperability
75
Improvement activities
40
Cost
74.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A156749CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chaparral Medical Group, Inc. Cardiovascular Disease Current Accepting new patients
Chaparral Medical Group, Inc. Current Accepting new patients
CMG Clinical Laboratory and Ancillary Services, Inc. CurrentSince Dec 1, 2020 Accepting new patients
Anil Rastogi MD Inc Cardiovascular Disease CurrentSince Aug 1, 2019 Accepting new patients
Chaparral Medical Group Inc. Cardiovascular Disease CurrentSince Oct 15, 2021 Accepting new patients
Chaparral Medical Group Inc. CurrentSince Oct 15, 2021 Accepting new patients
Chaparral Medical Group, Inc. CurrentSince Oct 15, 2021 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Chaparral Medical Group Inc Past Accepting new patients
Hemet Valley Medical Center Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients
Haven Eye Institute Inc Past Accepting new patients

Locations

5385 Walnut Ave
Ste 3
Chino, CA 91710
Phone (909) 465-0292

5385 Walnut Ave
Ste 4
Chino, CA 91710
Phone (909) 465-0292

1275 E Latham Ave
Ste A
Hemet, CA 92543
Phone (909) 652-5555

1801 W Olympic Blvd
Pasadena, CA 91199

1866 N Orange Grove Ave
Pomona, CA 91767
Phone (909) 630-7711

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

8330 Red Oak St
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 987-4922

9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732

8330 Red Oak St
Ste 201
Rch Cucamonga, CA 91730
Phone (909) 987-1730

585 N Mountain Ave
Ste A
Upland, CA 91786
Phone (909) 608-7546

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1982044244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 CHAD ZELLER LN",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928828057",
            "telephone_number": "562-363-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 N ORANGE GROVE AVE STE 202",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673042",
            "telephone_number": "909-623-8796",
            "fax_number": "909-623-3076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8330 Red Oak St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917300603",
            "country_code": "US",
            "telephone_number": "909-987-4922",
            "fax_number": "909-466-1190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5385 Walnut Ave Ste 3&4",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917102605",
            "country_code": "US",
            "telephone_number": "909-465-0292",
            "fax_number": "909-465-0318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULUMATI",
        "first_name": "KRISHNA ANURAG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A156749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.