MS. RUBY IRISH BULAK BARTOLOME D.O.
NPI 1629369608
Pediatrics in Boston, MA
About Ms. Ruby Irish Bulak Bartolome D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. RUBY IRISH BULAK BARTOLOME D.O. (NPI 1629369608) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (262466) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Ruby Irish Bulak Bartolome D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ruby Irish Bartolome reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02118
- Reassigned Medicare billing, Massachusetts enrollment
- 195 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CINCINNATI, MA 02111
BOSTON, MA 02111
BOSTON, MA 02111
BOSTON, MA 02111
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 Ruby Irish Bartolome's NPI number?
The NPI number for Ruby Irish Bartolome is 1629369608. It was assigned to this individual provider in the NPPES registry on April 26, 2011.
Where is Ruby Irish Bartolome located?
Ruby Irish Bartolome practices at 800 Washington Street Box 286, Boston, MA 02111. The listed phone number is (617) 636-8182.
What is Ruby Irish Bartolome's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Ruby Irish Bartolome enrolled in Medicare?
Yes. Ruby Irish Bartolome is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ruby Irish Bartolome's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ruby Irish Bartolome reassigns Medicare benefits to Child Health Foundation Of Boston, Inc. (Boston, MA). 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 Ruby Irish Bartolome's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ruby Irish Bartolome accept?
Health plans from WellSense Health Plan list Ruby Irish Bartolome as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ruby Irish Bartolome was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Ms. Ruby Irish Bulak Bartolome, D.O. · NPI 1629369608
Pediatrics physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since April 26, 2011.
## Identity
- **NPI:** 1629369608 (Entity type: Individual)
- **Enumerated:** April 26, 2011
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 262466 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 800 WASHINGTON STREET, BOX 286, Boston, MA 02111
- **Phone:** (617) 636-8182 · **Fax:** (617) 636-1425
## 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:** Child Health Foundation Of Boston, Inc. (NPI 1619969920, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1629369608) · Data from the CMS NPPES public registry.