Individual provider Active NPI

Carlos F Bazoberry, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Waltham, MA
National Provider Identifier
1013963271
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
73975 Issued in MA
Practice address
281 Winter St FL 2
Waltham, MA 02451-8740
Phone
(781) 895-7900
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 73975 MA
Pain Medicine (Anesthesiology) Physician 207LP2900X 73975 MA Primary

Addresses

Primary practice location

281 Winter St FL 2
Waltham, MA 02451-8740

Mailing address

281 Winter St FL 2
Waltham, MA 02451-8740
Phone (781) 895-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20070417000532 MA Practitioner - AnesthesiologyPractitioner - Pain Management 9537066329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston Advanced Medicine, IncGroup PAC ID 3072616630, 5 clinicians

Practice addresses (Care Compare)

281 Winter St
Suite 210
Waltham, MA 02451-8766
Phone (781) 895-7903

Merit-based Incentive Payment System (MIPS)

Final score
76.66 of 100Reported as group
Quality
53.05
Promoting interoperability
98
Improvement activities
40
Cost
70.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Advanced Medicine Inc Pain Medicine CurrentSince Feb 28, 2007 Accepting new patients
Brown, Davila, Khan, Maza, Ruiz & Whirley-Diaz, M.D.'S, P.a. Anesthesiology PastSince Sep 15, 2019 Accepting new patients

Locations

281 Winter St
Ste 210
Waltham, MA 02451
Phone (781) 894-5522

281 Winter St
Fl 2
Waltham, MA 02451
Phone (781) 373-2940

85 1st Ave
Waltham, MA 02451
Phone (781) 647-7246

Interoperability endpoints

  • Direct secure messaging: carlos.bazoberry.p1@direct.bostonpaincare.nextgenshare.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1013963271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 WINTER ST FL 2",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024518740",
            "telephone_number": "781-895-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 WINTER ST FL 2",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024518740",
            "telephone_number": "781-895-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZOBERRY",
        "first_name": "CARLOS",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "73975",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "73975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.