Eric Robert Beaudoin, M.D.
Individual provider Active NPI Anesthesiology Physician · New Haven, CT
NPI 1528076247 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1528076247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 038717 (CT)
- Practice address
- 1450 Chapel St
New Haven, CT 06511-4405 - Phone
- (203) 789-3538
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integrated Anesthesia Associates LLC
Practice addresses (Care Compare)
435 Lewis Ave
Meriden, CT 06451-2101
Phone (860) 282-0833
80 Semour St
Hartford, CT 06106-3315
Phone (860) 972-2117
Hospital & facility affiliations
- Midstate Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101015000400 | CT | Practitioner - Anesthesiology | 6204029861 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038717 | CT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Anesthesia Associates LLC | Anesthesiology | Current |
Accepting new patients |
Locations
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 038717 | CT | Yes |
Addresses
Primary practice location
1450 Chapel St
New Haven, CT 06511-4405
Mailing address
1423 Chapel St
New Haven, CT 06511-4411
Phone (203) 789-3538
Other providers in New Haven, CT
- Nicole Beall
- Colin Daniel Beals-Reid
- Dorothy Beaman
- Michael Harry Beasley
- Marianne Beatrice
- Mariangelie Beaudry
- Matthew Thomas Beaulac
- Christie Lee Beaulieu
- Ivette Becerra Ortiz
- Carla Isabel Becerra
All providers in New Haven, CT · Anesthesiology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.