Individual provider Active NPI

Eric D Grahling, MD

  • Interventional Pain Medicine Physician
  • Plainville, CT
National Provider Identifier
1841257185
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
045053 Issued in CT
Practice address
440 New Britain Ave
Comprehensive Pain Management of Central CT, LLC
Plainville, CT 06062
Phone
(860) 793-0500
Fax
(860) 793-1116
NPI assigned
Apr 28, 2006
Last updated
Jan 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 045053 CT Primary

Addresses

Primary practice location

440 New Britain Ave
Comprehensive Pain Management of Central CT, LLC
Plainville, CT 06062

Mailing address

440 New Britain Ave
Comprehensive Pain Management of Central CT, LLC
Plainville, CT 06062
Phone (860) 793-0500

Other identifiers 2

IdentifierTypeStateIssuer
1770776023OtherCTMEDICARE NPI
010045053CT01OtherCTBCBS PROVIDER #

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
I20070831000279 CT Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 3476556341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
University of California, Geffen School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

440 New Britain Ave
Plainville, CT 06062-2036
Phone (860) 793-0500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045053CTMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pain Management of Central Connecticut, LLC Interventional Pain Medicine CurrentSince Aug 31, 2007 Accepting new patients

Locations

440 New Britain Ave
Plainville, CT 06062
Phone (860) 793-0500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1841257185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 NEW BRITAIN AVE",
            "address_2": "COMPREHENSIVE PAIN MANAGEMENT OF CENTRAL CT, LLC",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "06062",
            "telephone_number": "860-793-0500",
            "fax_number": "860-793-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 NEW BRITAIN AVE",
            "address_2": "COMPREHENSIVE PAIN MANAGEMENT OF CENTRAL CT, LLC",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "06062",
            "telephone_number": "860-793-0500",
            "fax_number": "860-793-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHLING",
        "first_name": "ERIC",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CT",
            "license": "045053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1770776023",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "010045053CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, CT

Sources for this page

Verify at the official NPI Registry.