Individual provider Active NPI

Kimberly Anna Bogardus, MD

  • Anesthesiology Physician
  • Stamford, CT
National Provider Identifier
1114506391
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
81685 Issued in CT
Practice address
1 Hospital PLZ
Stamford, CT 06902-3602
Phone
(203) 276-1000
NPI assigned
Apr 6, 2021
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 81685 CT Primary

Addresses

Primary practice location

1 Hospital PLZ
Stamford, CT 06902-3602

Mailing address

PO Box 626
Great River, NY 11739-0626
Phone (631) 892-2745

Other practice location 1

525 E 68th St
New York, NY 10065-4870
Phone (212) 746-2941

Other practice location 2

32 Strawberry Hill Ct
Stamford, CT 06902-2594
Phone (203) 276-1000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250807001868 CT Practitioner - Anesthesiology 9133627326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbor Point Anesthesia LLCGroup PAC ID 5294011870, 26 clinicians
Stamford Anesthesiology Services PCGroup PAC ID 9335191667, 48 clinicians

Practice addresses (Care Compare)

1 Hospital PLZ
Stamford, CT 06902-3602
Phone (212) 774-7369

32 Strawberry Hill CT
Stamford, CT 06902-2594
Phone (203) 276-2000

4 Hospital PLZ
Stamford, CT 06902-3602
Phone (203) 276-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81685CTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Point Anesthesia LLC Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients

Locations

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

32 Strawberry Hill Ct
Stamford, CT 06902
Phone (203) 276-2000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1114506391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "GREAT RIVER",
            "state": "NY",
            "postal_code": "117390626",
            "telephone_number": "631-892-2745",
            "fax_number": "631-201-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL PLZ",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023602",
            "telephone_number": "203-276-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 E 68th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100654870",
            "country_code": "US",
            "telephone_number": "212-746-2941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32 Strawberry Hill Ct",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069022594",
            "country_code": "US",
            "telephone_number": "203-276-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGARDUS",
        "first_name": "KIMBERLY",
        "middle_name": "ANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "81685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.