Active NPI
Nicholas Henry Bube, M.D.
- Anesthesiology Physician
- Farmington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 047624
- Practice address
- 263 Farmington Ave
Department of Anesthesiology MC-2015
Farmington, CT 06030-0001 - Phone
- (860) 679-3600
- NPI assigned
- Feb 16, 2009
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 047624 | CT | Primary |
Addresses
Primary practice location
263 Farmington Ave
Department of Anesthesiology MC-2015
Farmington, CT 06030-0001
Mailing address
465 Buckland Hills Dr
Apt 25234
Manchester, CT 06042-9100
Phone (765) 215-4407
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Indiana University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
65 Memorial Rd
Suite 500
West Hartford, CT 06107-4233
Phone (860) 586-8655
80 Semour St
Hartford, CT 06106-3315
Phone (860) 972-2117
Hospital & facility affiliations
- Hartford Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047624 | CT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| Uconn Health Center Anesthesiology | Anesthesiology | Past | Accepting new patients |
Locations
263 Farmington Ave
Farmington, CT 06032
Phone (860) 679-1706
263 Farmington Ave
#6305
Farmington, CT 06032
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
99 E River Dr
Fl 5
Hartford, CT 06108
Phone (860) 282-4022
505 Willard Ave
Newington, CT 06111
Phone (860) 224-6709
2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375
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.
-
- Anesthesiology Physician
- Shelton, CT
- NPI 1881636397
-
- Anesthesiology Physician
- East Hartford, CT
- NPI 1710937172
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1891934857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 BUCKLAND HILLS DR",
"address_2": "APT 25234",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060429100",
"telephone_number": "765-215-4407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"address_2": "DEPARTMENT OF ANESTHESIOLOGY MC-2015",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060300001",
"telephone_number": "860-679-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUBE",
"first_name": "NICHOLAS",
"middle_name": "HENRY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-16",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CT",
"license": "047624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.