Active NPI
Carlos F Bazoberry, M.D.
- Pain Medicine (Anesthesiology) Physician
- Waltham, MA
National Provider Identifier
1013963271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 73975
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Advanced Medicine Inc | Pain Medicine | Current | Accepting new patients |
| Brown, Davila, Khan, Maza, Ruiz & Whirley-Diaz, M.D.'S, P.a. | Anesthesiology | Past | 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
- 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.
-
- Pain Medicine Physician
- Waltham, MA
- NPI 1427103258
-
- Anesthesiology Physician
- Coral Gables, FL
- NPI 1760463269
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.