ANTONIO E BULLON (M.D.) – Psychiatry Physician, NPI 1063527950

ANTONIO E BULLON (M.D.) is a healthcare provider. based in Cambridge, Massachusetts. specializing in PSYCHIATRY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 152835 (MA). The NPI Number for ANTONIO E BULLON (M.D.) is 1063527950

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
ANTONIO E BULLON (M.D.)
NPI
1063527950
Phone
(617) 905-7103
Address
955 Massachusetts Ave Ste 185
Enumeration Date
20 August 2006
Last Update Date
3 April 2025

Doctor Profile

Medical School Name
UNIVERSITY CENTRAL DEL CARIBE ESCUELA DE MEDICINA
Secondary Phone
6174995054
Graduation Year
1991 (35 years ago)
PAC ID
8628128683
Group Practice PAC ID
2668364183
Professional Enrollment ID
I20090612000173
Address ID
MA021385502CA330XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,743 PSYCHIATRY in MA

Provider Addresses for ANTONIO E BULLON (M.D.)

  • 955 Massachusetts Ave Ste 185

    Cambridge, MA 021393180

    Phone: (617) 905-7103

    Fax: (617) 499-5419

    Type: Location

  • Beth Israel Deaconess Medical Center East Campus, 330, Brookline Avenue, Audubon Square, Boston, Suffolk County, Massachusetts, 02215, United States

    BOSTON, MA 022155400

    Phone: (617) 667-5121

    Type: Location

  • 2, Clinton Street, Mid-Cambridge, Cambridge, Middlesex County, Massachusetts, 02139, United States

    APT. NO. 1

    CAMBRIDGE, MA 021392312

    Phone: (617) 667-5121

    Type: Mailing

  • 330 MOUNT AUBURN ST

    CAMBRIDGE, MA 021385502

    Phone: (617) 905-7103

    Fax: (617) 499-5419

    Type: Location

  • 47 SCHOOL ST

    HOPKINTON, MA 017482121

    Phone: (617) 905-7103

    Fax: (617) 499-5419

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090612000173IPsychiatryMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes34667$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes33748$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes31864$0
90836Psychotherapy with evaluation and management visit, 45 minutes24511$0
99213Established patient office or other outpatient visit, 20-29 minutes24511$0
View full utilization report →

Insurance plans in this area (ZIP 02139)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668364183View full group profile
NameSpecialtyState
P S Y C H I A T R YMA
-RI
P S Y C H I A T R YMA
P S Y C H I A T R YMA
Psychiatry, NeurologyMA
-MA
-MA
P S Y C H I A T R YNY
P S Y C H I A T R YMA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify ANTONIO E BULLON (M.D.) with an NPI only?
You can start verification with NPI 1063527950 for ANTONIO E BULLON (M.D.), then check state licensing separately.
Is ANTONIO E BULLON (M.D.) listed as active for patients and plans?
The listing shows ANTONIO E BULLON (M.D.) as active in the NPI system.
What healthcare role does ANTONIO E BULLON (M.D.) hold?
Scheduling teams often label ANTONIO E BULLON (M.D.) under Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does ANTONIO E BULLON (M.D.) list a practice location?
Patients near Cambridge, Massachusetts may find ANTONIO E BULLON (M.D.) in results; validate coverage separately.
Is the information about ANTONIO E BULLON (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

DR. WAYNE EDWARD BRUNELL (MD)

Psychiatry Physician
872, Massachusetts Avenue, Central Square, Cambridgeport, Cambridge, Middlesex County, Massachusetts, 02139, United States
NPI: 1740282094
Windsor St. Health & Community Center, 119, Windsor Street, The Port, Cambridge, Middlesex County, Massachusetts, 02139, United States
NPI: 1730174921

DR. PAUL A CANNISTRARO (M.D.)

Psychiatry Physician
5 JFK ST
NPI: 1639165988

DR. DAVID MANN (M.D.)

Addiction Psychiatry Physician
89, Magazine Street, Central Square, Cambridge, Middlesex County, Massachusetts, 02139, United States
NPI: 1427047398

DR. SUSAN M KATTLOVE (MD)

Psychiatry Physician
102;104, Larch Road, Larchwood, Cambridge, Middlesex County, Massachusetts, 20478, United States
NPI: 1144219783

DR. JACQUELINE OLDS (MD)

Psychiatry Physician
Charlestown Post Office (mobile), Pattern Close, St Austell Bay, Charlestown, Cornwall, England, PL25 3FQ, United Kingdom
NPI: 1336139054

DR. JOAN WHEELIS (M.D.)

Psychiatry Physician
TWO BRATTLE CENTER
NPI: 1871583302

DR. ASTRID DESROSIERS (MD MPH)

Psychiatry Physician
Windsor St. Health & Community Center, 119, Windsor Street, Central Square, Cambridgeport, Cambridge, Middlesex County, Massachusetts, 02139, United States
NPI: 1033109582