Robert J Boolbol, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

040205 Issued in CT

Practice address

11 South Rd
Suite 250
Farmington, CT 06032

Phone

(860) 674-0222

Fax

(860) 674-0024

NPI assigned

Oct 6, 2005

Last updated

Jun 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Interventional Pain Management

Education

New York Medical College, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pain Management Partners LLCGroup PAC ID 8426488081, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pain Management Partners LLC

  • Pain Medicine (Anesthesiology) Physician
  • Waterbury, CT
  • NPI 1306485925

  Specialist

  Medicare reassignment Care Compare group NPD
• Pain Management Partners LLC

  • Pain Medicine (Anesthesiology) Physician
  • New Milford, CT
  • NPI 1174155642
  NPD
• Pain & Spine Specialists of Connecticut, LLC

  • Specialist
  • New Milford, CT
  • NPI 1174826598
  NPD (past)
• Pain Management Partners LLC

  • Pain Medicine (Anesthesiology) Physician
  • Farmington, CT
  • NPI 1164057568
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1316935034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXECUTIVE PLAZA 1, SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "410-329-1071",
            "fax_number": "410-329-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SOUTH RD",
            "address_2": "SUITE 250",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "06032",
            "telephone_number": "860-674-0222",
            "fax_number": "860-674-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOLBOL",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "040205",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CT",
            "license": "040205",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CT",
            "license": "040205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Bogui, MD
• Andrew Paul Bompastore, MD
• Antonio Alejandro Bon Nieves, MD
• Robert D Bona, MD
• Nectarios Chris Bonatsakis, LCSW
• Jenna Bordelon Kelsey, MD
• Suzanne Bores, LCSW
• Erin Boris
• Juan Esteban Borja Ceballos, MD
• Penney Borovsky, SLP

• Interventional Pain Medicine Physician in Farmington, CT
• Providers in Farmington, CT by specialty
• Interventional Pain Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.

Verify at the official NPI Registry.