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

Philip Bulterys

Individual provider Anatomic Pathology Physician · NPI 1073075925

Philip Bulterys is a Pathology in Stanford, California. Qualified in 2019, 7 years ago. Practices with Martha's Vineyard Hospital Inc, a 142-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

300 Pasteur Dr Rm H2110
Stanford, CA 94305-2200
Phone: (650) 723-7211
Show map & directions

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

Additional practice locations (2)

  • 55 Fruit St, Boston, MA 02114-2621 — (617) 726-2000
  • 75 Francis St, Boston, MA 02115-6110 — (617) 732-5500

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Anatomic Pathology Physician Taxonomy 207ZP0101X · Licence 1023993 (MA)

Record details

NPI number1073075925
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing address300 Pasteur Dr Rm H2110, Stanford, CA 94305-2200

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Martha'S Vineyard Hospital Inc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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