Active NPI
Robert Bogli, D.O
- Family Medicine Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34012559
- 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, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
4406 Montgomery Rd
Cincinnati, OH 45212-3116
Phone (513) 847-6778
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34012559 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Family Medicine | Current | Accepting new patients |
| Vpa PC | Family Medicine | Current | Accepting new patients |
| Vpa PC | Family Medicine | Current | Accepting new patients |
| Ameriwound LLC | Current | Accepting new patients | |
| Ameriwound Physicians in LLC | Current | Accepting new patients | |
| Vpa PC | Family Medicine | Current | Accepting new patients |
| CG Medical Associates Inc | Family Medicine | Current | 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.
-
- Contractor
- Mayfield Heights, OH
- NPI 1740535988
-
- Family Medicine Physician
- Middleburg Heights, OH
- NPI 1932386059
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1487699575
-
- Specialist
- Whiting, IN
- NPI 1801312863
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.