ANJALI BUDHATHOKI M.D
NPI 1548558166
Internal Medicine - Hematology & Oncology in Green Bay, WI

Q: What is Anjali Budhathoki's NPI number?

The NPI number for Anjali Budhathoki is 1548558166. It was assigned to this individual provider in the NPPES registry on July 17, 2011.

Q: What is Anjali Budhathoki's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Anjali Budhathoki was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 July 17, 2011PECOS EnrolledAccepts Medicare Assignment

1580 COMMANCHE AVE, GREEN BAY, WI 54313(920) 435-8326 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2024, Oct 31, 2023, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

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About Anjali Budhathoki M.d NPPES

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

ANJALI BUDHATHOKI M.D (NPI 1548558166) is an individual hematology & oncology provider in Green Bay, Wisconsin, licensed in New York (316716) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1548558166

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameANJALI BUDHATHOKICredential: M.D

Location Address1580 COMMANCHE AVEGreen Bay, WI 54313-5751

Mailing Address3722 82nd StJackson Heights, NY 11372-7040 · (718) 879-1600

Phone(920) 435-8326

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 17, 2011

Last NPPES UpdateJune 10, 20245 updates tracked since enumeration

NPPES CertifiedJune 10, 2024

✔ NPI 1548558166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in NY · 316716✔ Licensed in WI · 83449-20

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License 248906 (MA)

1580 COMMANCHE AVE, Green Bay, WI 54313

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Secondary Practice Locations 3

Location 13015 3rd Ave SEAberdeen, SD 57401-5418 · Phone (605) 226-5500 · Fax (605) 226-5601

Location 23014 Crescent StAstoria, NY 11102-3249 · Phone (718) 808-7777

Location 32520 30th AveAstoria, NY 11102-2448 · Phone (718) 808-7777

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anjali Budhathoki M.d 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 ID5890052252

PECOS Enrollment IDI20240724000209

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

78 services49 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

29 services15 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

20 services18 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520049

Location744 S Webster AveGreen Bay, WI 54305 · Brown County

Emergency services Birthing friendly

Bay Area Medical Center

Acute Care Hospitals · Marinette, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520113

Location3003 University DrMarinette, WI 54143 · Marinette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54313 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

$163.24 typical visit price

range $53.90 – $163.24

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

Most-billed visit code 99205

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.

DR. KEVIN L MORTARA MD

Internal Medicine (Hematology & Oncology)