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

Q: What is Theodore Manullang's NPI number?

The NPI number for Theodore Manullang is 1821037243. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Q: What is Theodore Manullang's specialty?

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

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: August 09, 2026.

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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

Phone(425) 451-4141

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

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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 2

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.

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 services12 patients

Anesthesia for other procedure on forearm, wrist, or hand bones 01830

Anesthesia for procedures on forearm, wrist, or hand bones involves administering medications to block sensation in the specific area. It ensures you don't feel pain during the procedure. It can be local (numbing a small area) or regional (numbing a larger part of the body).

12 services12 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.

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