NPIMap

Individual provider Active NPI

Anuma Kalu Ulu, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Central Islip, NY
National Provider Identifier
1982731741
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
230182 Issued in NY
Practice address
10 McFarland Ave
Central Islip, NY 11722-4158
Phone
(631) 365-3099
Fax
(866) 596-9345
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 230182 NY Primary

Addresses

Primary practice location

10 McFarland Ave
Central Islip, NY 11722-4158

Mailing address

10 McFarland Ave
Central Islip, NY 11722-4158
Phone (631) 365-3099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051012000829 TX Practitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Emergency Medicine 4486679057 Reassigns benefits to 4 organizations
I20250619001918 NE Practitioner - Emergency Medicine 4486679057 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winnebago Tribe of NebraskaGroup PAC ID 7113268640, 32 clinicians

Practice addresses (Care Compare)

225 Bluff St
Winnebago, NE 68071-9703

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.2 of 100Reported as group
Quality
74.9
Improvement activities
40
Cost
20.37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital CurrentSince Dec 26, 2017 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Jul 30, 2022 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Mar 1, 2023 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Jul 30, 2022 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Dec 26, 2017 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Apr 10, 2024 Accepting new patients
Lexington Regional Health Center Current Accepting new patients
Lexington Regional Health Center CurrentSince Jun 15, 2025 Accepting new patients
Lexington Regional Health Center CurrentSince Jun 15, 2025 Accepting new patients

Locations

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

1201 N Erie St
Lexington, NE 68850
Phone (308) 324-5651

225 Bluff St
Winnebago, NE 68071
Phone (402) 745-3950

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1982731741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MCFARLAND AVE",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224158",
            "telephone_number": "631-365-3099",
            "fax_number": "866-596-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MCFARLAND AVE",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224158",
            "telephone_number": "631-365-3099",
            "fax_number": "866-596-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULU",
        "first_name": "ANUMA",
        "middle_name": "KALU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "230182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Islip, NY

Sources for this page

Verify at the official NPI Registry.