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

Dr. John A Bastulli, MD

Individual provider Pain Medicine (Anesthesiology) Physician · NPI 1104811264

Dr. John A Bastulli, MD is an Anesthesiology in Cleveland, Ohio. Graduated from Northeastern Ohio University College of Medicine in 1983, 43 years ago. Practices with Ohio Anesthesia Group, Inc, a 129-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
43
Trained at
Northeastern Ohio University College of Medicine
Licensed in
OH
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10515 Carnegie Ave
Cleveland, OH 44106-3016
Phone: (216) 928-0136
Fax: (216) 928-0141
Show map & directions

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

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 35-05-0645 (OH)

Record details

NPI number1104811264
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 15, 2005
Last updated in NPPESOctober 6, 2010
Mailing address10515 Carnegie Ave, Cleveland, OH 44106-3016

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 1983 (43 years in practice)
Group practice Ohio Anesthesia Group, Inc — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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