Bhupinder S Bolla, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

252773-1 Issued in NY

Practice address

26561 State Route 3 Ste a
Watertown, NY 13601-1749

Phone

(157) 827-2463

Fax

(315) 782-7247

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 ManagementAlso: Anesthesiology

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Samaritan Medical Center Hospital, Watertown, NY, CCN 330157
• Carthage Area Hospital, Inc Hospital, Carthage, NY, CCN 331318
• Lewis County General Hospital Hospital, Lowville, NY, CCN 331317

Merit-based Incentive Payment System (MIPS)

Final score

95.82 of 100Reported as individual

Quality

96.34

Promoting interoperability

100

Improvement activities

40

Cost

89.72

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bhupinder.bolla.1@18197.direct.athenahealth.com

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.

• Bhupinder Singh Bolla MD PLLC

  • Interventional Pain Medicine Physician
  • Watertown, NY
  • NPI 1336490663
  Medicare reassignment NPD Authorized official
• Bhupinder Singh Bolla MD PLLC

  • Durable Medical Equipment & Medical Supplies
  • Watertown, NY
  • NPI 1669002697

  Interventional Pain Medicine

  NPD Authorized official
• Advanced Pain Management SC

  • Pain Medicine Physician
  • Greenfield, WI
  • NPI 1770506669
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carthage Area Hospital Inc

  • Critical Access Hospital
  • Carthage, NY
  • NPI 1053497388
  Care Compare affiliation
• Carthage Area Hospital, Inc.

  • Critical Access Hospital
  • Carthage, NY
  • NPI 1104234376
  Care Compare affiliation
• Lewis County

  • Rural Acute Care Hospital
  • Lowville, NY
  • NPI 1487689402
  Care Compare affiliation
• Lewis County General Hospital

  • Critical Access Hospital
  • Lowville, NY
  • NPI 1619390838
  Care Compare affiliation
• Samaritan Medical Center

  • General Acute Care Hospital
  • Watertown, NY
  • NPI 1598713745
  Care Compare affiliation

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1386680874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6684",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136016684",
            "telephone_number": "315-782-7246",
            "fax_number": "315-782-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26561 STATE ROUTE 3 STE A",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011749",
            "telephone_number": "157-827-2463",
            "fax_number": "315-782-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLA",
        "first_name": "BHUPINDER",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "252773-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Blosser
• Laura Ellen Boggs, DO
• Mia Boissevain
• Diane Margery Bolden, LPN
• Tonya Anne Boliver, RN
• Boltons Pharmacy Inc
• Boltons Pharmacy Inc
• Lisa E Bonner, RPH
• Rebecca Lynne Booras
• Deanna Marie Booth, LPN

• Interventional Pain Medicine Physician in Watertown, NY
• Providers in Watertown, NY by specialty
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.