NPIMap

Individual provider Active NPI

David Aaron Bomback, MD

  • Orthopaedic Surgery of the Spine Physician
  • Danbury, CT
National Provider Identifier
1619996410
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
043313 Issued in CT
Practice address
39 Hospital Ave
Danbury, CT 06810-6027
Phone
(203) 744-9700
NPI assigned
Jul 19, 2006
Last updated
Dec 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 043313 CT Primary

Addresses

Primary practice location

39 Hospital Ave
Danbury, CT 06810-6027

Mailing address

PO Box 4110
Woburn, MA 01888-4110
Phone (203) 744-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050617000547 CT Practitioner - Orthopedic Surgery 4486698636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Columbia University College of Physicians and Surgeons, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6 Greenwich Office Park
Greenwich, CT 06831-5151
Phone (203) 869-1145

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
82.55
Promoting interoperability
100
Improvement activities
40
Cost
64.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion138
Laminectomy or laminotomy (partial removal of spine bones)66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
043313CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic & Neurosurgery Specialists, PLLC Orthopaedic Surgery of the Spine CurrentSince Jul 15, 2021 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC Orthopaedic Surgery of the Spine CurrentSince Jul 15, 2021 Accepting new patients

Locations

39 Hospital Ave
Danbury, CT 06810
Phone (203) 744-9700

6 Greenwich Office Park
Greenwich, CT 06831
Phone (203) 869-1145

5 High Ridge Park
Fl 3
Stamford, CT 06905
Phone (203) 869-1145

249 Danbury Rd
Wilton, CT 06897
Phone (203) 762-3353

Interoperability endpoints

  • Direct secure messaging: dbomback@ons.emadirect.md

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1619996410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4110",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018884110",
            "telephone_number": "203-744-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 HOSPITAL AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106027",
            "telephone_number": "203-744-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMBACK",
        "first_name": "DAVID",
        "middle_name": "AARON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CT",
            "license": "043313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.