NPIMap

Organization Active NPI

Comprehensive Orthopedics & Musculoskeletal Care LLC

  • Orthopaedic Surgery Physician
  • Wallingford, CT
National Provider Identifier
1790844330
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
COMPREHENSIVE ORTHOPEDICS & MUSCULOSKELETAL CARE LLC
Practice address
863 North Main St Ext
Ste 200
Wallingford, CT 06492
Phone
(203) 741-6547
Fax
(203) 741-6575
NPI assigned
Dec 8, 2006
Last updated
Mar 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Mrs. Cindy Bova
Title
Human Resources Manager
Phone
(203) 265-3280

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

863 North Main St Ext
Ste 200
Wallingford, CT 06492

Mailing address

863 North Main St Ext
Ste 200
Wallingford, CT 06492
Phone (203) 741-6547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031229000526 CT Part B Supplier - Clinic/Group Practice 9830097864 Receives reassigned benefits from 53 practitioners
Practice locations: Wallingford, CT; Waterbury, CT; Southington, CT; New Britain, CT; Meriden, CT; Cheshire, CT; Bristol, CT
O20100930024804 CT DME Supplier - Physician - General SurgeryDME Supplier - Orthotic Personnel 9830097864 Practice locations: Wallingford, CT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2006965Comprehensive Orthopedics863 North Main Street Ext, Wallingford, CT 06492Certificate of waiverOct 3, 2026

National Provider Directory

National Provider Directory

Locations

286 Maple Ave
Cheshire, CT 06410
Phone (203) 699-9650

98 Main St
Fl 2
Southington, CT 06489

98 Main St
Rear 1
Southington, CT 06489

98 Main St
Ste 201
Southington, CT 06489
Phone (860) 329-0115

85 Barnes Rd
Ste 303
Wallingford, CT 06492
Phone (203) 265-2594

Practitioners & affiliated clinicians

Practitioners 71

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 71

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1790844330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 NORTH MAIN ST EXT",
            "address_2": "STE 200",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "203-741-6547",
            "fax_number": "203-741-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 NORTH MAIN ST EXT",
            "address_2": "STE 200",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "203-741-6547",
            "fax_number": "203-741-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE ORTHOPEDICS & MUSCULOSKELETAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "BOVA",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "HUMAN RESOURCES MANAGER",
        "authorized_official_telephone_number": "203-265-3280",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.