Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. MICAIAH A BULLY MD
NPI 1255134672
Anesthesiology in Boston, MA

Q: What is Micaiah Bully's NPI number?

The NPI number for Micaiah Bully is 1255134672. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Q: What is Micaiah Bully's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Micaiah Bully was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.

Active since March 31, 2025PECOS Enrolled

1 BOSTON MEDICAL CTR PL STE 1, BOSTON, MA 02118(617) 638-8000 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 26, 2026, Mar 31, 2025 (2 updates tracked since 2025).

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About Mr. Micaiah A Bully Md NPPES

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

MR. MICAIAH A BULLY MD (NPI 1255134672) is an individual anesthesiology provider in Boston, Massachusetts, licensed in Massachusetts (3018264) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255134672

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameMR. MICAIAH A BULLYCredential: MD

Location Address1 BOSTON MEDICAL CTR PL STE 1Boston, MA 02118-2999

Mailing Address1 Boston Medical Ctr Pl Ste 1Boston, MA 02118-2999 · (617) 638-8000

Phone(617) 638-8000

Sole ProprietorNo

Enumeration DateMarch 31, 2025

Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration

NPPES CertifiedAugust 26, 2026

✔ NPI 1255134672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in MA · 3018264

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

1 BOSTON MEDICAL CTR PL STE 1, Boston, MA 02118

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Micaiah A Bully Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

BENJAMIN GREBBER

Pediatrics