Active NPI
Robert C Debiase, MD
- Cardiovascular Disease Physician
- Bristol, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 035995
- Practice address
- 25 Newell Rd
Suite D24
Bristol, CT 06010 - Phone
- (860) 582-3235
- Fax
- (860) 582-0692
- NPI assigned
- Apr 18, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 035995 | CT | Primary |
Addresses
Primary practice location
25 Newell Rd
Suite D24
Bristol, CT 06010
Mailing address
25 Newell Rd
Suite D24
Bristol, CT 06010
Phone (860) 582-3235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001359951 | Medicaid | CT |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101011000452 | CT | Practitioner - Cardiovascular Disease (Cardiology) | 8729103809 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- New York Medical College, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bristol Hospital Multi Specialty Group, Inc.
Practice addresses (Care Compare)
15 Riverside Ave
Bristol, CT 06010-6312
Phone (860) 585-3333
41 Brewster Rd
Bristol, CT 06010-5161
Phone (860) 585-3000
Hospital & facility affiliations
- Bristol Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.86 of 100
- Quality
- 11.77
- Promoting interoperability
- 98
- Improvement activities
- 0
- Cost
- 73.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035995 | CT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Hospital Multi Specialty Group, Inc | Current | Accepting new patients |
Locations
15 Riverside Ave
Bristol, CT 06010
Phone (860) 516-7593
25 Newell Rd
Ste D24
Bristol, CT 06010
Phone (860) 314-6020
22 Pine St
Ste 304
Bristol, CT 06010
Phone (860) 582-3235
41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000
Interoperability endpoints
- robert.debiase@bhmg.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- General Practice Physician
- Bristol, CT
- NPI 1649265679
CT
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083679708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 NEWELL RD",
"address_2": "SUITE D24",
"city": "BRISTOL",
"state": "CT",
"postal_code": "06010",
"telephone_number": "860-582-3235",
"fax_number": "860-582-0692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 NEWELL RD",
"address_2": "SUITE D24",
"city": "BRISTOL",
"state": "CT",
"postal_code": "06010",
"telephone_number": "860-582-3235",
"fax_number": "860-582-0692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBIASE",
"first_name": "ROBERT",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CT",
"license": "035995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001359951",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.