Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Anastasia Bakoulis, DO

Individual provider Surgery Physician · NPI 1922380203

Dr. Anastasia Bakoulis, DO is a Surgical Oncology in Stony Brook, New York. Graduated from Philadelphia College of Osteopathic Medicine in 2010, 16 years ago. Practices with Stony Brook Surgical Associates University Faculty Practice Corporati, a 102-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
16
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
NY
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3 Edmund D Pellegrino Rd
Stony Brook, NY 11794-2594
Phone: (631) 638-1000
Fax: (631) 638-0720
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 284277 (NY)

Record details

NPI number1922380203
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 13, 2011
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySURGICAL ONCOLOGY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2010 (16 years in practice)
Group practice Stony Brook Surgical Associates University Faculty Practice Corporati — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Stony Brook