Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ryan Boutin, DO

Individual provider Adult Medicine Physician · NPI 1699094201

Ryan Boutin, DO is a Family Practice in Middletown, Connecticut. Qualified in 2010, 16 years ago. Licensed in Connecticut.

Years since qualifying
16
Licensed in
CT
In the registry since
2010
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

28 Crescent Street Middlesex Hospital
Middletown, CT 06457-3650
Phone: (860) 358-5322
Fax: (860) 358-6298
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 53426 (CT)
Adult Medicine Physician Taxonomy 207QA0505X · Licence 53426 (CT)

Record details

NPI number1699094201
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 21, 2010
Last updated in NPPESAugust 7, 2014
Mailing address28 Crescent St, Middlesex Hospital, Middletown, CT 06457-3654

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare