Rainer Wolf Bagdasarian, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

038365 Issued in CT

Practice address

25 Newell Rd
Suite D28
Bristol, CT 06010

Phone

(860) 583-2003

Fax

(860) 582-6255

NPI assigned

Aug 28, 2006

Last updated

Mar 27, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General SurgeryAlso: Vascular Surgery

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bristol Hospital Multi Specialty Group, Inc.Group PAC ID 9032014758, 148 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bristol Hospital Hospital, Bristol, CT, CCN 070029

Merit-based Incentive Payment System (MIPS)

Final score

54.86 of 100Reported as group

Quality

11.77

Promoting interoperability

98

Improvement activities

0

Cost

73.13

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rainer.bagdasarian@bhmg.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bristol Hospital Multi Specialty Group, Inc

  • General Practice Physician
  • Bristol, CT
  • NPI 1649265679

  Surgery

  Medicare reassignment Care Compare group NPD
• Bristol Surgical Group, P.C.

  • Specialist
  • Bristol, CT
  • NPI 1912197781
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bristol Hospital Incorporated

  • General Acute Care Hospital
  • Bristol, CT
  • NPI 1619901642
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1013025295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NEWELL RD",
            "address_2": "SUITE D28",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-583-2003",
            "fax_number": "860-582-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NEWELL RD",
            "address_2": "SUITE D28",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-583-2003",
            "fax_number": "860-582-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGDASARIAN",
        "first_name": "RAINER",
        "middle_name": "WOLF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "038365",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "038365",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001383653",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jody Elizabeth Axt
• Ellen D Babcock, LMFT
• Nicole Ann Bacon, PT
• Carlos Manuel Badiola, MD
• Ara D Bagdasarian, MD
• Fatoumata Bah, NURSE PRACTITIONER
• Lea Bailey, MD
• Balanced Life Psychiatric Care, PLLC
• Astrid Aime Baldrich-Sanchez
• Thomas John Balga, PA-C

• Surgery Physician in Bristol, CT
• Providers in Bristol, CT by specialty
• Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.