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

NAGENDRA BHULANJA DO
NPI 1417651514
Emergency Medicine in Marinette, WI

Q: What is Nagendra Bhulanja's NPI number?

The NPI number for Nagendra Bhulanja is 1417651514. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Q: What is Nagendra Bhulanja's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Nagendra Bhulanja was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 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 30, 2023PECOS Enrolled

3003 UNIVERSITY DR, MARINETTE, WI 54143(715) 735-4200 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 6, 2026, Aug 11, 2026, Mar 30, 2023 (3 updates tracked since 2023).

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About Nagendra Bhulanja Do NPPES

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

NAGENDRA BHULANJA DO (NPI 1417651514) is an individual emergency medicine provider in Marinette, Wisconsin, licensed in Wisconsin (82287-21) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2023).

NPPES Registry Identity

NPI1417651514

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameNAGENDRA BHULANJACredential: DO

Location Address3003 UNIVERSITY DRMarinette, WI 54143-4110

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(715) 735-4200

Sole ProprietorNo

Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2023

Enumeration DateMarch 30, 2023

Last NPPES UpdateOctober 6, 20263 updates tracked since enumeration

NPPES CertifiedOctober 6, 2026

✔ NPI 1417651514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in WI · 82287-21

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

3003 UNIVERSITY DR, Marinette, WI 54143

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Other Identifiers 1

Medicaid100430087WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nagendra Bhulanja Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921464777

PECOS Enrollment IDI20260901002082

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 Reassignment

Medicare enrollment records show Nagendra Bhulanja reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aurora Medical Group, Inc.

91 mi

Clinic/Center

2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081

Reassigned Medicare billing, Wisconsin enrollment
4,609 clinicians in this Medicare group

NPI 1174670244 (920) 457-4461

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

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230047

Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KRISTIN LAURA KNIECH DO

Obstetrics & Gynecology