Bhupinder S Bolla (NPI# 1386680874, PAC ID# 1759367246) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1386680874 |
| PAC ID by PECOS | 1759367246 |
| Professional Enrollment ID | I20040830000246 |
| Full Name | Bhupinder S Bolla |
| Address |
26561 State Route 3 Suite A Watertown NY 13601-1749 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1994 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 331317 | LEWIS COUNTY GENERAL HOSPITAL |
| 331318 | CARTHAGE AREA HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 26561 State Route 3, Suite A, Watertown, NY 13601-1749 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Street Address |
26561 STATE ROUTE 3 SUITE A |
| City | WATERTOWN |
| State | NY |
| Zip | 13601-1749 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett R Bunker | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Maria N Alicea | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Christina M Oneil | Clinical Social Worker | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Christopher Wilson | Nurse Practitioner | Samaritan Medical Center | 830 Washington St, Pm and R, Watertown, NY 13601-0000 |
| Catherine Vreatt | Clinical Social Worker | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Zachary Nahmias | Dermatology | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Makenzie Rae Griffin | Nurse Practitioner | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Bonnie L Servage | Nurse Practitioner | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Erica Feola | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Maryellen I Blevins | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Find all physicians in zip 13601 | |||
| City | WATERTOWN |
| Zip Code | 13601 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | WATERTOWN + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Bhupinder S Bolla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.