Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Susan Diane Boulware, MD

Pediatric Endocrinology Physician in New Haven, CT · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124001946

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Registry record

Entity type Individual (Type 1)

Name Susan Diane Boulware

Credential MD

Sex Female

Practice address 2 Church St S, Suite 511, New Haven, CT, 06519

Phone (203) 764-9199

Fax (203) 764-9149

Enumeration date Nov 25, 2005

Last updated in NPPES Aug 4, 2008

Taxonomy & licenses

2080P0205X Pediatric Endocrinology Physician Allopathic & Osteopathic Physicians · License 028443 (CT) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
001284439	Medicaid	CT	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Susan Boulware's NPI record?

Cross-check NPI 1124001946 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1124001946 active?

Yes, as of the latest NPPES snapshot, NPI 1124001946 is active (record last updated 2008-08-04).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-08-04.