Evgeny Bulat, MD, MA

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

328362-01 Issued in NY

Practice address

290 Madison Ave Ste 201
New York, NY 10017-6308

Phone

(212) 470-6676

NPI assigned

Mar 25, 2019

Last updated

Jul 5, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NY2 enrollments

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 2

Specialty

AnesthesiologyAlso: Pain Management

Education

Perelman School of Med at the University of Pennsylvania, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sedation Vacation Perioperative Medicine PLLCGroup PAC ID 1759658594, 86 clinicians

Pain Doctors of America PLLCGroup PAC ID 9830431006, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pain Doctors of America PLLC

  • Interventional Pain Medicine Physician
  • New York, NY
  • NPI 1992264469
  Medicare reassignment Care Compare group NPD
• Sedation Vacation Perioperative Medicine PLLC

  • Specialist
  • Valley Stream, NY
  • NPI 1891235404
  Medicare reassignment Care Compare group NPD
• Centurion Midtown Anesthesia PLLC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1750087854
  Medicare reassignment NPD
• Brigham & Womens Physicians Organization Inc

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1033535497

  Anesthesiology

  Medicare reassignment NPD
• Shore Medical Treatment PLLC

  • Specialist
  • Jericho, NY
  • NPI 1457016669
  NPD (past)
• NJ Vein Medical LLC

  • Specialist
  • Morristown, NJ
  • NPI 1851169841
  NPD (past)
• Vein Treatment NJ LLC

  • Specialist
  • Clifton, NJ
  • NPI 1427670132
  NPD (past)

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783209600000",
    "number": "1659832509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 NORTHERN BLVD APT 22B",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013646",
            "telephone_number": "585-469-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MADISON AVE STE 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176308",
            "telephone_number": "212-470-6676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E 77th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100751850",
            "country_code": "US",
            "telephone_number": "212-434-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULAT",
        "first_name": "EVGENY",
        "name_prefix": "Dr.",
        "credential": "MD, MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2026-07-05",
        "certification_date": "2026-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "328362",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "328362-01",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "328362-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Bukoski, PA-C
• Limor Bukspan, LMSW
• Marko Bukur, MD
• Nikka Mae Larcia Bulang, MD
• Alexander Bulanov, D.O.
• Alexa Ann Bulavinetz, NP
• Nicholas Serge Bulba, DO
• Andrea Bulbena-Cabre
• Andie Bulbin
• Olga Buldakova

• Interventional Pain Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.

Verify at the official NPI Registry.