JAMES M. PRIBULA MD – NPI #1255331526
Pediatrics

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.

JAMES PRIBULA is a physician located in SHARON, CT. NPPES has assigned the NPI number 1255331526 to JAMES PRIBULA on July 28, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 12 years ago on Jan 16, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAMES PRIBULA below.

NPI Profile for
JAMES M. PRIBULA

NPI Number
1255331526
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JAMES M. PRIBULA
Credentials
MD
Primary location
29 HOSPITAL HILL RD
SUITE 1600
SHARON, CT 06069-2095
Phone: (860) 364-5585 Fax:
Mailing address
PO BOX 789
SHARON, CT 06069-0789
Phone: (860) 364-4471 Fax: (860) 364-4410
Sole Proprietor
No
Updated
Identifiers

Identifiers for JAMES PRIBULA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBC/BS OF MASSACHUSETTSJ30037
OTHERBEECH STREET043202198
OTHERBOSTON MEDICAL CENTER HNP000000008393
OTHERCBA043202198
OTHERCHILDRENS MED PLAN043202198
OTHERCIGNA043202198-015
OTHERCONNECTICARE OF MA78208
OTHERCONSOLIDATED HEALTH PLAN043202198
OTHERFIRST HEALTH043202198
OTHERGREAT WEST HEALTH PLAN043202198
OTHERHARVARD PILGRIM18252
OTHERHEALTH CARE VALUE MGMT043202198
OTHERHEALTH NEW ENGLAND15567
OTHERHMC - PPO043202198
OTHERHMO BLUEJ30037
OTHERMULTI-PLAN043202198
OTHERNEIGHBORHOOD HEALTH PLAN0030464
MEDICAIDMA3112942
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
MA 78208

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.