Renu Rachel Ouseph Boatright, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

54222 Issued in CT

Practice address

374 Grand Ave
New Haven, CT 06513-3733

Phone

(203) 777-7411

Fax

(203) 777-8506

NPI assigned

May 12, 2008

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rboatright321270@direct.ynhh.org
• Direct secure messaging: renu.boatright@corhio.medicity.net

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.

• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351

  Pediatrics

  Medicare reassignment NPD
• Rocky Mountain Youth Medical & Nursing Consultants Inc

  dba Every Child Pediatrics

  • Pediatrics Physician
  • Thornton, CO
  • NPI 1730295296
  NPD

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1407023252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 GRAND AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133733",
            "telephone_number": "203-752-5248",
            "fax_number": "203-786-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 GRAND AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133733",
            "telephone_number": "203-777-7411",
            "fax_number": "203-777-8506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9197 Grant St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802294361",
            "country_code": "US",
            "telephone_number": "303-869-2173",
            "fax_number": "303-962-1515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9197 Grant St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802294361",
            "country_code": "US",
            "telephone_number": "303-869-2173",
            "fax_number": "303-962-1515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOATRIGHT",
        "first_name": "RENU",
        "middle_name": "RACHEL OUSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "54222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiara Valentina Bo Otazu, MD
• Bernice Boateng
• Jeffery Owusu Boateng, MD
• Jeffrey Joseph Boateng, MD
• Michael Boateng, APRN FNP-C
• Linda Kathyn Bockenstedt, MD
• Jessica Dara Bod
• William Bodden, MD
• Aditya Vikram Boddu
• Prajwal Chaitanya Boddu, M.D.

• Pediatrics Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.