Thomas Bladek, MD – Anesthesiology Physician

Key facts

NPI: 1790761765
Entity type: Individual (NPI type 1)
Primary specialty: Anesthesiology Physician 207L00000X
License: 25690 (CT)
Practice address: 2800 Main St
St Vincents Medical Center
Bridgeport, CT 06606-4201
Phone: (203) 929-7353
Fax: (203) 929-0756
NPI assigned: Dec 21, 2005
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Integrated Anesthesia Associates LLC Anesthesiology Physician · Shelton, CT · NPI 1881636397

Medicare reassignment Care Compare group NPD ANESTHESIOLOGY · CT

Hospital & facility affiliations 1

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

SVMC Holdings, Inc General Acute Care Hospital · Bridgeport, CT · NPI 1942224696

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Anesthesiology
Education: Other, 1982
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Integrated Anesthesia Associates LLC (402 clinicians)

Practice addresses (Care Compare)

2800 Main St
Bridgeport, CT 06606-4201
Phone (877) 442-2455

80 Semour St
Hartford, CT 06106-3315
Phone (860) 972-2117

Hospital & facility affiliations

St Vincent'S Medical Center Hospital · Bridgeport, CT · CCN 070028

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
I20100804000040	CT	Practitioner - Anesthesiology	8527968817	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Specialty	Status	New patients
Integrated Anesthesia Associates LLC	Anesthesiology	Current since Nov 16, 1988	Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

4 Armstrong Rd
Shelton, CT 06484
Phone (203) 374-6000

2 Trap Falls Rd
Ste 414
Shelton, CT 06484
Phone (860) 282-4128

2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Anesthesiology Physician	207L00000X	25690	CT	Yes

Addresses

Primary practice location

2800 Main St
St Vincents Medical Center
Bridgeport, CT 06606-4201

Mailing address

4 Armstrong Rd
Shelton, CT 06484-4721
Phone (203) 929-7353

Other providers in Bridgeport, CT

All providers in Bridgeport, 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.

Verify at the official NPI Registry.