Active NPI
Ronald E Bugaoan, M.D.
- Psychiatry Physician
- Hanover, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 230344
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 215472 | Medicaid | MA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald Bugaoan MD LLC | Current | Accepting new patients | |
| First Psychiatric Planners, Inc | Past | Accepting new patients | |
| Alfredo R Chan MD PC | Past | Accepting new patients | |
| Bedrock Rehab, LLC | Past | Accepting new patients | |
| Bournewood Clinical Associates | Psychiatry | Past | 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.
-
dba New England Psychiatric Consultants
- Addiction Psychiatry Physician
- Plymouth, MA
- NPI 1427673136
-
- Addiction Psychiatry Physician
- Hanover, MA
- NPI 1548454671
-
- Substance Abuse Rehabilitation Facility
- Canton, MA
- NPI 1891332193
-
dba Bournewood Hospital
- Psychiatric Hospital
- Brookline, MA
- NPI 1093714412
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.