Robert Blouin, M.D.
Individual provider Active NPI Anesthesiology Physician · Waterbury, CT
NPI 1104010784 · NPPES record last updated Oct 3, 2007
Key facts
- NPI
- 1104010784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 030815 (CT)
- Practice address
- 160 Robbins St
Waterbury, CT 06708-2652 - Phone
- (203) 755-6663
- Fax
- (203) 756-9645
- NPI assigned
- Aug 28, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Connecticut School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Woodland Anesthesia Associates PC
Practice addresses (Care Compare)
114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-6654
Hospital & facility affiliations
- Saint Mary'S Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041209000080 | CT | Practitioner - Anesthesiology | 7719943984 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030815 | CT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodland Anesthesia Associates PC | Anesthesiology | Current |
Accepting new patients |
Locations
701 Cottage Grove Rd
Ste F230
Bloomfield, CT 06002
Phone (860) 243-5569
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
160 Robbins St
Waterbury, CT 06708
Phone (203) 573-7284
Interoperability endpoints
- rblouin2388577@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 030815 | CT | Yes |
Addresses
Primary practice location
160 Robbins St
Waterbury, CT 06708-2652
Mailing address
130 Old Post Rd
Southport, CT 06890-1302
Phone (203) 259-7035
Other providers in Waterbury, CT
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- Ry Bloomdahl
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- Alina Bobrova
- Jaime Bochenek
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All providers in Waterbury, CT · Anesthesiology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.