MR. THEODORE R MANULLANG MD
NPI 1821037243
Anesthesiology in Bellevue, WA

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
1035 116TH AVE NE, BELLEVUE, WA 98004(425) 451-4141(425) 451-4144 Get Directions Write a Review

NPPES record last updated: November 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Theodore R Manullang Md NPPES

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

MR. THEODORE R MANULLANG MD (NPI 1821037243) is an individual anesthesiology provider in Bellevue, Washington, licensed in Washington (MD00037431) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and is a graduate of Loma Linda University School Of Medicine (1994).

NPPES Registry Identity

NPI1821037243
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameMR. THEODORE R MANULLANGCredential: MD
Location Address1035 116TH AVE NEBellevue, WA 98004-4604
Mailing AddressPo Box 24503Seattle, WA 98124-0503 · (425) 451-4141 · Fax (425) 451-4144
Fax(425) 451-4144
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1994
Enumeration DateJune 5, 2006
Last NPPES UpdateNovember 9, 2007
NPI 1821037243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in WA · MD00037431
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.

1035 116TH AVE NE, Bellevue, WA 98004

Other Identifiers 1

Medicare PINAB10227WA

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

Mr. Theodore R Manullang Md 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 ID2062312804
PECOS Enrollment IDI20101215000079
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back 00300
Anesthesia for procedures on skin, muscles, or nerves of the head, neck, and upper back involves using medication to numb the area or make you unconscious during the procedure. This ensures you don't feel pain or discomfort. It's safe and monitored by professionals.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

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.

Internal Medicine
1035 116TH AVE NE, HOSPITALISTS DEPT.
BELLEVUE, WA 98004
Internal Medicine
1035 116TH AVE NE, HOSPITALISTS DEPT.
BELLEVUE, WA 98004
Internal Medicine
1035 116TH AVE NE, HOSPITALISTS DEPT.
BELLEVUE, WA 98004
Internal Medicine
1035 116TH AVE NE, HOSPITALISTS DEPT.
BELLEVUE, WA 98004
Internal Medicine
1035 116TH AVE NE, HOSPITALIST DEPT
BELLEVUE, WA 98004
Internal Medicine
1035 116TH AVE NE, HOSPITALIST DEPT.
BELLEVUE, WA 98004
Pathology (Anatomic Pathology & Clinical Pathology)
1035 116TH AVE NE
BELLEVUE, WA 98004
Anesthesiology
1035 116TH AVE NE
BELLEVUE, WA 98004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821037243, enumerated as an "individual" on June 05, 2006.

The provider is located at 1035 116TH AVE NE BELLEVUE, WA 98004 and the phone number is (425) 451-4141.

Anesthesiology with taxonomy code 207L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Theodore Manullang is affiliated with: OVERLAKE HOSPITAL MEDICAL CENTER.