Individual provider Active NPI

Kendall Lauren Buraimoh, MD

  • Physical Medicine & Rehabilitation Physician
  • Bristol, CT
National Provider Identifier
1295153294
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
D0085550 Issued in MD
Practice address
321 Stonecrest Dr
Bristol, CT 06010-5378
Phone
(860) 583-1827
NPI assigned
Apr 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X D0085550 MD Primary

Addresses

Primary practice location

321 Stonecrest Dr
Bristol, CT 06010-5378

Mailing address

195 Steele Rd
West Hartford, CT 06119-1050
Phone (443) 624-1456

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
I20220309000968 CT Practitioner - Physical Medicine and Rehabilitation 1052611530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Boston University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000

Hospital & facility affiliations

  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002
  • Mount Sinai Rehabilitation Hospital Inc Inpatient rehabilitation facility, Hartford, CT, CCN 073025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0085550MDMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Orthopaedic Associates PA Multi-Specialty CurrentSince Sep 1, 2018 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Multi-Specialty CurrentSince Nov 30, 2022 Accepting new patients
University of Maryland Orthopaedic Trauma Associates, PA Multi-Specialty CurrentSince Sep 25, 2018 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Multi-Specialty CurrentSince Nov 30, 2022 Accepting new patients
University of Maryland Orthopaedic Associates P a Multi-Specialty CurrentSince Sep 1, 2018 Accepting new patients
Kendall Buraimoh Physiatry Multi-Specialty CurrentSince Jun 25, 2025 Accepting new patients

Locations

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1295153294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 STEELE RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191050",
            "telephone_number": "443-624-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 STONECREST DR",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105378",
            "telephone_number": "860-583-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURAIMOH",
        "first_name": "KENDALL",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0085550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.