DR. RAGHUBINDER K BAJWA (NPI# 1508817107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508817107 |
| Entity Type | Individual |
| Full Name | DR. RAGHUBINDER K BAJWA |
| Credential | M.D. |
| Practice Address |
490 Blue Hills Ave Suite 103 Hartford CT 06112 |
| Mailing Address |
490 Blue Hills Ave Hartford CT 06112 |
| Practice Telephone | 6087142647 |
| Practice Fax Number | 6087148517 |
| Mailing Telephone | 6087142647 |
| Mailing Fax Number | 8607148517 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 29145 | CT | Allopathic & Osteopathic Physicians |
| Y | 208100000X | Physical Medicine & Rehabilitation | 60569 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3051323 | 05 | |
| MA | BLUE CROSS BLUE SHIELD | J08214 | 01 |
| Street Address |
490 BLUE HILLS AVE SUITE 103 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215935168 | Robert Krug | Physical Medicine & Rehabilitation | 490 Blue Hills Ave, Hartford, CT 06112-1513 | 2005-07-13 |
| 1225581937 | Kristan Brown | Nurse Practitioner | 490 Blue Hills Ave, Hartford, CT 06112 | 2016-07-28 |
| 1912218686 | Moeid Khan | Physical Medicine & Rehabilitation | 490 Blue Hills Ave, Saint Francis Mecical Group, Inc, Hartford, CT 06112-1513 | 2010-06-28 |
| 1821280314 | Glenda J Thomas | Nurse Practitioner | 490 Blue Hills Ave, Physician's Office Suite, Hartford, CT 06112-1513 | 2007-08-17 |
| 1730301169 | Mount Sinai Rehabilitation Hospital, Inc. | Rehabilitation Hospital | 490 Blue Hills Ave, Hartford, CT 06112-1513 | 2007-05-03 |
| 1932320876 | Bruce H Hsu | Physical Medicine & Rehabilitation | 490 Blue Hills Ave, 3rd Floor (rehab Medicine Office), Hartford, CT 06112 | 2007-05-01 |
| 1487774840 | Ricardo Ruiz | Internal Medicine | 490 Blue Hills Ave, Hartford, CT 06112-1513 | 2007-03-30 |
| 1063539906 | Caroline W. Burns | Occupational Therapist | 490 Blue Hills Ave, Hartford, CT 06112-1513 | 2007-03-24 |
| 1295850485 | Radiology Associates of Hartford PC | Radiology | 490 Blue Hills Ave, Hartford, CT 06112-1513 | 2007-03-20 |
| 1649332909 | Raymond Chagnon | Specialist | 490 Blue Hills Ave, Pt and Rehab, Hartford, CT 06112-1513 | 2006-12-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810355 | Ashwin Mahesh | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 | 2020-04-24 |
| 1336600527 | Waleed Ibrahim | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic, 131 Coventry Street 2nd Floor, Hartford, CT 06112 | 2019-03-29 |
| 1740741941 | Hajra Munawar | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic 131 Coventry Street, Hartford, CT 06112 | 2019-03-29 |
| 1194191973 | Esther Wint | Nurse Practitioner | 490 Blue Ave, Hartford, CT 06112 | 2015-08-17 |
| 1194105700 | Michelle Russi | Physical Therapy Assistant | 490 Blue Hill Ave., Hartford, CT 06112 | 2015-06-09 |
| 1366858359 | Krysten N Marotta | Pharmacist | 1290 Albany Ave, Hartford, CT 06112 | 2014-07-10 |
| 1447403522 | Moon Hee Yoo | Psychiatry & Neurology | 500 Vine St., Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1992958094 | Roxann Marie Ellis-denby | Social Worker | 51 Coventry Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1265590871 | The Connecticut Institute for The Blind | Intermediate Care Facility, Mentally Retarded | 120 Holcomb Street, Hartford, CT 06112 | 2006-12-05 |
| 1164580379 | Intercommunity, Inc. | Clinic/Center | 16 Coventry Street, Hartford, CT 06112 | 2006-12-04 |
| Find all providers in zip 06112 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962647743 | Paul Pezzino | Physical Medicine & Rehabilitation | 330 Main St Fl 2, Hartford, CT 06106-1851 | 2008-12-09 |
| 1518992874 | Jin Ho Chung | Physical Medicine & Rehabilitation | 100 Wells Street- Suite 1b, Hartford Orthopedic Medicine, Hartford, CT 06103 | 2006-07-12 |
| 1215935168 | Robert Krug | Physical Medicine & Rehabilitation | 490 Blue Hills Ave, Hartford, CT 06112-1513 | 2005-07-13 |
| 1467704098 | Paul Pezzino, Md Dc of Ct Corp | Physical Medicine & Rehabilitation | 330 Main St Fl 2, Hartford, CT 06106 | 2012-10-05 |
| 1487953014 | Matthew J Reuter | Physical Medicine & Rehabilitation | 85 Seymour Street, Hartford Hospital Physical Medicine & Rehab, Hartford, CT 06106 | 2011-03-22 |
| 1912218686 | Moeid Khan | Physical Medicine & Rehabilitation | 490 Blue Hills Ave, Saint Francis Mecical Group, Inc, Hartford, CT 06112-1513 | 2010-06-28 |
| 1609025394 | Centered Health Physical Therapy | Physical Medicine & Rehabilitation | 1477 Park St, Suite 14, Hartford, CT 06106-2235 | 2008-09-17 |
| 1215195912 | Silke A Bernert | Physical Medicine & Rehabilitation | 85 Seymour Street, Hartford Hospital Physical Medicine & Rehab, Hartford, CT 06106-5501 | 2008-05-29 |
| 1275746836 | Maria Tsarouhas | Physical Medicine & Rehabilitation | 80 Seymour Street, Hartford Hospital Physical Medicine & Rehab, Hartford, CT 06102-5037 | 2007-05-08 |
| 1932320876 | Bruce H Hsu | Physical Medicine & Rehabilitation | 490 Blue Hills Ave, 3rd Floor (rehab Medicine Office), Hartford, CT 06112 | 2007-05-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.