Susan Diane Boulware, MD
NPI 1124001946ActiveIndividual· Pediatrics, Pediatric Endocrinology· New Haven, CT
Pediatrics, Pediatric Endocrinology (MD) in New Haven, Connecticut, licensed in CT, with an NPI issued in November 2005. Enrolled in Medicare as practitioner - pediatric medicine. Glaxosmithkline, LLC. reported $20.23 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1124001946 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Nov 25, 2005 |
| Last updated in NPPES | Aug 4, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Pediatric Endocrinology Primary | 2080P0205X | 028443 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (CT) |
|---|
Industry payments (Open Payments)
- 2025$20.23 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $20.23 | 1 |
What the 2025 payments were for
- Food and Beverage$20.23 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Pediatrics, Pediatric Endocrinology providers in New Haven
- 1417300203
- 1588648448
- 1275161291
- 1598494049
- 1598928491
- 1720061948
- 1730162553
- 1811163363
- 1851581045
- 1851628358
- 1972586196
- 1578975488
All 25 Pediatrics, Pediatric Endocrinology providers in New Haven · All Pediatrics, Pediatric Endocrinology providers in Connecticut