Organization Active NPI

Ronald Bugaoan MD LLC

  • Addiction Psychiatry Physician
  • Plymouth, MA
National Provider Identifier
1427673136
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
Legal business name
RONALD BUGAOAN MD LLC
Practice address
225 Water St Ste A140
Plymouth, MA 02360-6248
Phone
(617) 817-2833
Fax
(781) 987-9286
NPI assigned
Jun 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Mr. Ronald E Bugaoan, MDNPI 1861551236
Title
Owner
Phone
(617) 817-2833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0802X Primary

Addresses

Primary practice location

225 Water St Ste A140
Plymouth, MA 02360-6248

Mailing address

225 Water St Ste A140
Plymouth, MA 02360-6248
Phone (617) 817-2833

Other names 1

  • New England Psychiatric Consultants Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200615001706 MA Part B Supplier - Clinic/Group Practice 2365864675 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2142729New England Psychiatric Consultants225 Water St, Plymouth, MA 02360Certificate of waiverJan 17, 2028

National Provider Directory

National Provider Directory

Locations

225 Water St
Ste A140
Plymouth, MA 02360
Phone (508) 789-0199

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1427673136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WATER ST STE A140",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023606248",
            "telephone_number": "617-817-2833",
            "fax_number": "781-987-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WATER ST STE A140",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023606248",
            "telephone_number": "617-817-2833",
            "fax_number": "781-987-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD BUGAOAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "BUGAOAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-817-2833",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New England Psychiatric Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New England Psychiatric Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.