Individual provider Active NPI

Robert Bogli, D.O

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1033521653
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34012559 Issued in OH
Practice address
4850 Smith Rd
Ste 100a
Cincinnati, OH 45212-2796
Phone
(513) 841-0777
Fax
(513) 841-0877
NPI assigned
Jun 2, 2014
Last updated
Jan 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Family Medicine Physician 207Q00000X 34012559 OH Primary

Addresses

Primary practice location

4850 Smith Rd
Ste 100a
Cincinnati, OH 45212-2796

Mailing address

501 Madison Ave
Scranton, PA 18510-2401
Phone (570) 343-2383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170126002404 OH Practitioner - Family Practice 7315266400 Reassigns benefits to 3 organizations
I20200122003083 IN Practitioner - Family Practice 7315266400

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

4406 Montgomery Rd
Cincinnati, OH 45212-3116
Phone (513) 847-6778

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34012559OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Family Medicine CurrentSince Feb 6, 2017 Accepting new patients
Vpa PC Family Medicine Current Accepting new patients
Vpa PC Family Medicine CurrentSince Feb 6, 2017 Accepting new patients
Ameriwound LLC CurrentSince May 17, 2017 Accepting new patients
Ameriwound Physicians in LLC CurrentSince Jan 7, 2020 Accepting new patients
Vpa PC Family Medicine Current Accepting new patients
CG Medical Associates Inc Family Medicine CurrentSince Jan 25, 2022 Accepting new patients

Locations

1101 E Coolspring Ave
Michigan City, IN 46360
Phone (219) 874-5211

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

14095 E Center St
Burton, OH 44021
Phone (440) 834-1084

4850 Smith Rd
Ste 100A
Cincinnati, OH 45212
Phone (513) 841-0777

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

2131 Gateway Dr
Fairborn, OH 45324
Phone (937) 873-9500

5800 Landerbrook Dr
Ste 220
Mayfield Hts, OH 44124

6150 Parkland Blvd
Ste 225
Mayfield Hts, OH 44124

846 State Route 28
Milford, OH 45150
Phone (513) 831-8555

4406 Montgomery Rd
Norwood, OH 45212
Phone (513) 376-7116

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1033521653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MADISON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102401",
            "telephone_number": "570-343-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 SMITH RD",
            "address_2": "STE 100A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122796",
            "telephone_number": "513-841-0777",
            "fax_number": "513-841-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGLI",
        "first_name": "ROBERT",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34012559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.