Individual provider Active NPI

Ronald E Bugaoan, M.D.

  • Psychiatry Physician
  • Hanover, MA
National Provider Identifier
1861551236
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
230344 Issued in MA
Practice address
105 Webster St
Suite #6
Hanover, MA 02339-1227
Phone
(781) 878-8200
Fax
(781) 878-5538
NPI assigned
Dec 8, 2006
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 230344 MA Primary

Addresses

Primary practice location

105 Webster St
Suite #6
Hanover, MA 02339-1227

Mailing address

225 Water St Ste A140
Plymouth, MA 02360-6248
Phone (617) 817-2833

Other identifiers 1

IdentifierTypeStateIssuer
215472MedicaidMA

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
I20071120000299 MA Practitioner - PsychiatryPractitioner - Addiction Medicine 8022106376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

225 Water St
Suite A140
Plymouth, MA 02360-6248
Phone (617) 817-2823

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald Bugaoan MD LLC CurrentSince May 11, 2020 Accepting new patients
First Psychiatric Planners, Inc PastSince Dec 1, 2014 Accepting new patients
Alfredo R Chan MD PC Past Accepting new patients
Bedrock Rehab, LLC Past Accepting new patients
Bournewood Clinical Associates Psychiatry PastSince Jun 12, 1997 Accepting new patients

Locations

225 Water St
Ste A140
Plymouth, MA 02360
Phone (508) 789-0199

Organizations & group practices 5

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1861551236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WATER ST STE A140",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023606248",
            "telephone_number": "617-817-2833",
            "fax_number": "781-987-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WEBSTER ST",
            "address_2": "SUITE #6",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391227",
            "telephone_number": "781-878-8200",
            "fax_number": "781-878-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGAOAN",
        "first_name": "RONALD",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "230344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215472",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

Verify at the official NPI Registry.