ERIC MAX BORTNICK M.D.
NPI 1477915437
Urology - Pediatric Urology in New Haven, CT
About Eric Max Bortnick M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERIC MAX BORTNICK M.D. (NPI 1477915437) is an individual pediatric urology provider in New Haven, Connecticut, licensed in Connecticut (77347) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eric Max Bortnick M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Eric Bortnick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Haven, CT 06519
- Reassigned Medicare billing, Connecticut enrollment
- 3,728 clinicians in this Medicare group
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 Eric Bortnick's NPI number?
The NPI number for Eric Bortnick is 1477915437. It was assigned to this individual provider in the NPPES registry on March 28, 2016.
Where is Eric Bortnick located?
Eric Bortnick practices at 789 Howard Ave # Fmp309, New Haven, CT 06519. The listed phone number is (203) 785-7671.
What is Eric Bortnick's specialty?
The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.
Is Eric Bortnick enrolled in Medicare?
Yes. Eric Bortnick is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Eric Bortnick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eric Bortnick reassigns Medicare benefits to Yale University (New Haven, CT). The 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 Eric Bortnick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Eric Bortnick was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Eric Max Bortnick, M.D. · NPI 1477915437
Pediatric Urology physician in New Haven, Connecticut. Individual provider, active in the CMS NPPES registry since March 28, 2016.
## Identity
- **NPI:** 1477915437 (Entity type: Individual)
- **Enumerated:** March 28, 2016
- **Primary specialty:** Urology - Pediatric Urology · taxonomy 2088P0231X
- **State license:** 77347 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 789 HOWARD AVE # FMP309, New Haven, CT 06519-1304
- **Phone:** (203) 785-7671
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Yale University (NPI 1124148887, New Haven, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1477915437) · Data from the CMS NPPES public registry.