PAIN SOLUTIONS OF NORTHERN NEW YORK
NPI 1336490663
Pain Medicine - Interventional Pain Medicine in Watertown, NY
About Pain Solutions Of Northern New York NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAIN SOLUTIONS OF NORTHERN NEW YORK (NPI 1336490663) is a healthcare organization registered as an interventional pain medicine in Watertown, New York and active in the NPI registry since September 2012. The organization lists Bhupinder S Bolla, President/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pain Solutions Of Northern New York is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pain Solutions Of Northern New York, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bhupinder Singh Bolla MD PLLC's NPI number?
The NPI number for Bhupinder Singh Bolla MD PLLC is 1336490663. It was assigned to this organization in the NPPES registry on September 26, 2012. The provider is doing business as Pain Solutions Of Northern New York.
Where is Bhupinder Singh Bolla MD PLLC located?
Bhupinder Singh Bolla MD PLLC is located at 107 Court St, Watertown, NY 13601. The listed phone number is (315) 782-7246.
What is Bhupinder Singh Bolla MD PLLC's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Bhupinder Singh Bolla MD PLLC enrolled in Medicare?
Yes. Bhupinder Singh Bolla MD PLLC is registered in the Medicare PECOS enrollment system.
When is Bhupinder Singh Bolla MD PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Bhupinder Singh Bolla MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Pain Management) reassigns their Medicare billing to Bhupinder Singh Bolla MD PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bhupinder Singh Bolla MD PLLC was last updated on January 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pain Solutions Of Northern New York · NPI 1336490663
Interventional Pain Medicine organization in Watertown, New York. Organization record, active in the CMS NPPES registry since September 26, 2012.
## Identity
- **NPI:** 1336490663 (Entity type: Organization)
- **Enumerated:** September 26, 2012
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Legal business name:** Bhupinder Singh Bolla Md Pllc
- **Organization subpart:** No
- **Authorized official:** Bhupinder Bolla, PRESIDENT/OWNER
## Practice location
- **Address:** 107 COURT ST, Watertown, NY 13601-2534
- **Phone:** (315) 782-7246
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Interventional Pain Management) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 16, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1336490663) · Data from the CMS NPPES public registry.