Individual provider Active NPI

Bogumila E. Jedras, M.D.

  • Anesthesiology Physician
  • Milford, CT
National Provider Identifier
1821063132
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
040233 Issued in CT
Practice address
831 Boston Post Road
Suite 203 Milford Anesthesia Associates P.C.
Milford, CT 06460
Phone
(203) 783-1831
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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 040233 CT Primary

Addresses

Primary practice location

831 Boston Post Road
Suite 203 Milford Anesthesia Associates P.C.
Milford, CT 06460

Mailing address

P.O. Box 3160
Milford Anesthesia Associates, P.C.
Milford, CT 06460-9768
Phone (203) 783-1831

Other identifiers 1

IdentifierTypeStateIssuer
001402338MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20080103000211 MA Practitioner - Anesthesiology 7416916697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metrowest Anesthesia Associates LLCGroup PAC ID 8224397351, 21 clinicians

Practice addresses (Care Compare)

115 Lincoln St
Framingham, MA 01702-6358
Phone (508) 383-1000

Hospital & facility affiliations

  • Metrowest Medical Center Hospital, Framingham, MA, CCN 220175

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metrowest Anesthesia Associates LLC Anesthesiology CurrentSince Jan 28, 2018 Accepting new patients
Anesthesiology Associates of Eastern Connecticut, P.C Anesthesiology PastSince Oct 4, 2004 Accepting new patients

Locations

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

67 Union St
Natick, MA 01760
Phone (508) 383-1104

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1821063132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3160",
            "address_2": "MILFORD ANESTHESIA ASSOCIATES, P.C.",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064609768",
            "telephone_number": "203-783-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 BOSTON POST ROAD",
            "address_2": "SUITE 203 MILFORD ANESTHESIA ASSOCIATES P.C.",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06460",
            "telephone_number": "203-783-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEDRAS",
        "first_name": "BOGUMILA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "040233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001402338",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.