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MS. RUBY IRISH BULAK BARTOLOME D.O.
NPI 1629369608
Pediatrics in Boston, MA

Active since April 26, 2011PECOS Enrolled
800 WASHINGTON STREET, BOX 286, BOSTON, MA 02111(617) 636-8182(617) 636-1425 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1629369608
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMS. RUBY IRISH BULAK BARTOLOMECredential: D.O.
Location Address800 WASHINGTON STREET, BOX 286Boston, MA 02111
Mailing Address800 Washington Street, Box 286Boston, MA 02111 · (617) 636-8182 · Fax (617) 636-1425
Phone(617) 636-8182
Fax(617) 636-1425
Sole ProprietorYes
Enumeration DateApril 26, 2011
Last NPPES UpdateMarch 17, 2018
✔ NPI 1629369608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MA · 262466✔ Licensed in CT · 53181
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
800 WASHINGTON STREET, Boston, MA 02111
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Secondary Practice Location 1

Location 1850 Harrison Avenue, YACC 4Boston, MA 02118 · Phone (617) 414-4359

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

VANJA TOLJ
Anesthesiology
800 WASHINGTON STREET, #298 ZISKIND BUILDING, 6TH FLOOR
CINCINNATI, MA 02111
Suffolk County (330) 645-5522
FABIOLA ANDREINA REYES CURCIO
Pathology (Anatomic Pathology & Clinical Pathology)
800 WASHINGTON STREET, #802
BOSTON, MA 02111
Suffolk County (617) 636-8006
NIKOLAY BUGAEV M.D.
Surgery (Surgical Critical Care)
800 WASHINGTON STREET
BOSTON, MA 02111
Suffolk County (617) 636-5000
DR. MOHAMMED ABDULLAH BAWAZEER MD
Surgery
800 WASHINGTON STREET, DEPARTMENT OF SURGERY, DIVISION OF TRAUMA SURGERY
BOSTON, MA 02111
Suffolk County (617) 636-4488
DR. MICHAELA MARGOLIS DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
800 WASHINGTON STREET
BOSTON, MA 02111
Suffolk County (617) 636-7820
DAWIT WORKU KASSA
Obstetrics & Gynecology
800 WASHINGTON STREET
BOSTON, MA 02111
Suffolk County (617) 636-2229
GERARDINA BUETI PA-C
Physician Assistant
800 WASHINGTON STREET
BOSTON, MA 02111
Suffolk County (617) 636-5590
LAUREN GUSS LICSW
Social Worker (Clinical)
800 WASHINGTON STREET
BOSTON, MA 02111
Suffolk County (617) 636-4174

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.

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.