Kenneth J Dobuler, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

019661 Issued in CT

Practice address

130 Division St
Derby, CT 06418-1326

Phone

(203) 732-7573

Fax

(203) 732-7418

NPI assigned

Jul 4, 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

Other identifiers 1

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

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3118/brand/1/csg/1/fhir/r4

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.

• Pulmonary Specialties, P.C.

  • Pulmonary Disease Physician
  • Derby, CT
  • NPI 1437354560
  Medicare reassignment NPD Authorized official
• Nutmeg Pediatric Pulmonary Services

  • Pediatric Pulmonology Physician
  • New Haven, CT
  • NPI 1174792949
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518997352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DIVISION ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "06418",
            "telephone_number": "203-732-7573",
            "fax_number": "203-732-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 DIVISION ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181326",
            "telephone_number": "203-732-7573",
            "fax_number": "203-732-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBULER",
        "first_name": "KENNETH",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "019661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119661700",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derbydds, P.C. (Dental Docs)
• Aartee Deshpande, MD
• Ruchima Dham
• Vivek Dhungana, MD
• Kristen Di Filippo, LMSW
• Patricia Donati, LCSW
• James Paul Doney, M.D.
• Brian C Dorcy, MD
• Debbie N Douglas, LCSW
• Dr.Dental of Derby P.C.

• Pulmonary Disease Physician in Derby, CT
• Providers in Derby, CT by specialty
• Pulmonary Disease Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.