Nicole Alyssa Bambara, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

84654 Issued in CT

Practice address

132 Jefferson St
Hartford, CT 06106

Phone

(860) 972-0200

Fax

(860) 545-3149

NPI assigned

Apr 17, 2023

Last updated

Jul 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Internal Medicine

Education

University of Connecticut School of Medicine, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27673/brand/1/csg/1/fhir/r4
• Direct secure messaging: nbambara2378474@direct.trinity-health.org

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.

• Collins Medical Associates 2 PC

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1912928169
  NPD
• Collins Medical Associates 2 PC

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1518256452
  NPD (past)
• Hartford Hospital

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1770696643
  NPD (past)

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1932895372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WOODLAND ST FL 1",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051230",
            "telephone_number": "860-714-7362",
            "fax_number": "860-714-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 JEFFERSON ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06106",
            "telephone_number": "860-972-0200",
            "fax_number": "860-545-3149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 N Main St Ste 300",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061071929",
            "country_code": "US",
            "telephone_number": "860-313-0448",
            "fax_number": "860-313-1464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAMBARA",
        "first_name": "NICOLE",
        "middle_name": "ALYSSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "84654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole.bambara.1@27673.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "41 N Main St Ste 300",
            "city": "West Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061071929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Natane Baldwin
• Jessica Bali, RN
• Fiona Christina Ball, BS
• Brandon Ballane
• Christopher Balsamo, APRN
• Kenneth J Banasiak, MD
• Leonard Banco, MD
• Alexander Jorge Bandin, MD
• Sanjay Banerjee, M.D.
• Thomas Clark Banever, M.D.

• Internal Medicine Physician in Hartford, CT
• Providers in Hartford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.

Verify at the official NPI Registry.