Individual provider Active NPI

Earl Bueno, M.D.,

  • Anesthesiology Physician
  • Waterbury, CT
National Provider Identifier
1669493607
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
041874 Issued in CT
Practice address
140 Grandview Ave
Waterbury, CT 06708-2505
Phone
(203) 757-7000
NPI assigned
Jul 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 041874 CT Primary

Addresses

Primary practice location

140 Grandview Ave
Waterbury, CT 06708-2505

Mailing address

64 Watertown Rd
Middlebury, CT 06762-1501

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040707001093 CT Practitioner - Anesthesiology 2860479854 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York Medical College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodland Anesthesia Associates PCGroup PAC ID 8820083652, 172 clinicians
New York Bariatric Surgery Group PLLCGroup PAC ID 4981045432, 39 clinicians

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-6654

2001 W Main St
Suite 150
Stamford, CT 06902-4542
Phone (516) 616-5500

Hospital & facility affiliations

  • Saint Mary'S Hospital Hospital, Waterbury, CT, CCN 070016
  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002
  • Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Woodland Anesthesia Associates PC Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
Connecticut Gi PLLC CurrentSince Aug 1, 2020 Accepting new patients
New York Bariatric Surgery Group PLLC CurrentSince Sep 22, 2024 Accepting new patients
North American Partners in Anesthesia Connecticut PC Anesthesiology CurrentSince Aug 4, 2019 Accepting new patients

Locations

701 Cottage Grove Rd
Ste F230
Bloomfield, CT 06002
Phone (860) 243-5569

140 Sherman St
Fl 2
Fairfield, CT 06824
Phone (203) 255-3451

345 Colt Hwy
Ste C
Farmington, CT 06032

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131

2001 W Main St
Ste 150
Stamford, CT 06902
Phone (203) 253-7037

1312 W Main St
Ste 101
Waterbury, CT 06708
Phone (203) 346-2200

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

Interoperability endpoints

  • Direct secure messaging: ebueno2998889@direct.trinity-health.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669493607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 WATERTOWN RD",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GRANDVIEW AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082505",
            "telephone_number": "203-757-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENO",
        "first_name": "EARL",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "041874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.