PHILIP BULTERYS
NPI 1073075925
Student in an Organized Health Care Education/Training Program in Stanford, CA

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
300 PASTEUR DR RM H2110, STANFORD, CA 94305(650) 723-7211 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2025, Apr 1, 2019 (2 updates tracked since 2019).

About Philip Bulterys NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILIP BULTERYS (NPI 1073075925) is an individual student in an organized health care education/training program in Stanford, California and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073075925
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePHILIP BULTERYS
Location Address300 PASTEUR DR RM H2110Stanford, CA 94305-2200
Mailing Address300 Pasteur Dr Rm H2110Stanford, CA 94305-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateDecember 2, 20252 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1073075925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X · License 1023993 (MA)
300 PASTEUR DR RM H2110, Stanford, CA 94305

Secondary Practice Locations 2

Location 155 Fruit StBoston, MA 02114-2621 · Phone (617) 726-2000
Location 275 Francis StBoston, MA 02115-6110 · Phone (617) 732-5500

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Philip Bulterys is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052801438
PECOS Enrollment IDI20251104004454
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Philip Bulterys reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4,574 clinicians in this Medicare group
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number220075
Location243 Charles StreetBoston, MA 02114 · Suffolk County
Emergency services

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Nantucket Cottage Hospital

Acute Care Hospitals · Nantucket, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number220177
Location57 Prospect StreetNantucket, MA 02554 · Nantucket County
Emergency services Birthing friendly

Martha's Vineyard Hospital Inc

Critical Access Hospitals · Oak Bluffs, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221300
LocationOne Hospital Road, First Fl, Wing 5, PO Box 1477Oak Bluffs, MA 02557 · Dukes County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology)
300 PASTEUR DR RM H2110
STANFORD, CA 94305
Pathology (Anatomic Pathology & Clinical Pathology)
300 PASTEUR DR RM H2110
STANFORD, CA 94305
Student in an Organized Health Care Education/Training Program
300 PASTEUR DR RM H2110
STANFORD, CA 94305
Student in an Organized Health Care Education/Training Program
300 PASTEUR DR RM H2110
STANFORD, CA 94305
Student in an Organized Health Care Education/Training Program
300 PASTEUR DR RM H2110
STANFORD, CA 94305
Pathology (Anatomic Pathology)
300 PASTEUR DR RM H2110
PALO ALTO, CA 94305
Pathology (Anatomic Pathology & Clinical Pathology)
300 PASTEUR DR RM H2110
STANFORD, CA 94305
Student in an Organized Health Care Education/Training Program
300 PASTEUR DR RM H2110
STANFORD, CA 94305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Bulterys's NPI number?

The NPI number for Philip Bulterys is 1073075925. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Philip Bulterys located?

Philip Bulterys practices at 300 Pasteur Dr Rm H2110, Stanford, CA 94305. The listed phone number is (650) 723-7211.

What is Philip Bulterys's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Philip Bulterys enrolled in Medicare?

Yes. Philip Bulterys is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Philip Bulterys's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Bulterys reassigns Medicare benefits to 3 organizations: Brigham & Womens Physicians Organization Inc (Boston, MA), Massachusetts General Physicians Organization Inc (Boston, MA) and The General Hospital Corporation (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Bulterys's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Bulterys accept?

Health plans from Taro Health list Philip Bulterys as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Philip Bulterys affiliated with any hospitals?

According to CMS data, Philip Bulterys is affiliated with Massachusetts General Hospital, Massachusetts Eye And Ear Infirmary -, Brigham And Women's Hospital, Nantucket Cottage Hospital and Martha's Vineyard Hospital Inc.

When was this NPI record last updated?

The NPPES record for Philip Bulterys was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.