Active NPI
David S Boisoneau, M.D.
- Otolaryngology Physician
- Waterford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 036632
- Practice address
- 201 Boston Post Rd
Waterford, CT 06385-2805 - Phone
- (860) 442-0407
- Fax
- (860) 444-2015
- NPI assigned
- Mar 7, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 036632 | CT | Primary |
Addresses
Primary practice location
201 Boston Post Rd
Waterford, CT 06385-2805
Mailing address
201 Boston Post Rd
Waterford, CT 06385-2805
Phone (860) 442-0407
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Connecticut School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 Boston Post Rd
Waterford, CT 06385-2805
Phone 8604420407226
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.01 of 100
- Quality
- 98.76
- Improvement activities
- 40
- Cost
- 81.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036632 | CT | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear,Nose and Throat Associates of Southeastern Connecticut, P.C. | Otolaryngology | Current | Accepting new patients |
| The Hospital of Central Connecticut at New Britain General and Bradley | Past | Accepting new patients |
Locations
14 Masons Island Rd
Unit 2B
Mystic, CT 06355
Phone (860) 536-3078
201 Boston Post Rd
Waterford, CT 06385
Phone (860) 442-0407
Interoperability endpoints
- dboisoneau108442@xdr.hhchealthdirect.org
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Waterford, CT
- NPI 1518044395
-
dba The Hospital of Central Connecticut
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lawrence and Memorial Hospital
- General Acute Care Hospital
- New London, CT
- NPI 1073530879
-
dba Lawrence and Memorial Hospital
- General Acute Care Hospital
- New London, CT
- NPI 1700092459
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1639135718
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1467429597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 BOSTON POST RD",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063852805",
"telephone_number": "860-442-0407",
"fax_number": "860-444-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 BOSTON POST RD",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063852805",
"telephone_number": "860-442-0407",
"fax_number": "860-444-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOISONEAU",
"first_name": "DAVID",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CT",
"license": "036632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, CT
- Christopher Blimberg, DPT
- Bloom Behavior and Consulting Services
- Bloom Behavior Consulting Services LLC
- Heather Nicole Bodie, LCSW
- Bradley Peter Bohman, LO
- Juliet Lacaran Boltz, MASSAGE THERAPIST
- Alan Wilfred Bonin, LMHC, LADC, LPC
- David Alan Brill, M.D.
- Cynthia Ann Brown, LPC
- Jocelyn Mazyck Brown, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.