BHUPINDER S BOLLA M.D. NPI 1386680874

NPI Information

  • NPI: 1386680874
  • Provider Name: BHUPINDER S BOLLA, M.D.
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 33D2051650
  • Address: 26561 STATE ROUTE 3 STE A
    WATERTOWN, NY
    ZIP 13601
  • Phone: (157) 827-2463

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NPI Details

Bhupinder S Bolla, M.D. is an interventional pain medicine pain medicine in Watertown, NY with 32 years of experience. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. Bhupinder S Bolla, M.D. NPI is 1386680874. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

26561 STATE ROUTE 3 STE A
WATERTOWN, NY
ZIP 13601-749
Phone: (157) 827-2463
Fax: (315) 782-7247

The NPI 1386680874 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 33D2051650 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • Injection of trigger points, 1-2 muscles (HCPCS:20552)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of upper or middle spine facet joint using imaging guidance, second level (HCPCS:64491)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Testing for presence of drug, read by direct observation (HCPCS:80305)

The enumeration date for this NPI number is 6/21/2006 and was last updated on 1/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0014XPain MedicineInterventional Pain Medicine252773-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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