Olivera Jovan Bogunovic-Sotelo, MD

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

211579 Issued in MA

Practice address

115 Mill St
Belmont, MA 02478-1041

Phone

(617) 855-2403

NPI assigned

Aug 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Olivera Jovan Bogunovic Professional name

Medicare fee-for-service enrollment

Enrolled in MA

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 1

Specialty

PsychiatryAlso: Addiction Medicine

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The McLean Hospital CorporationGroup PAC ID 9436040961, 186 clinicians

Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012

Merit-based Incentive Payment System (MIPS)

Final score

84.3 of 100Reported as group

Quality

71.45

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bogunovic-sotelo.olivera.mcl@direct.partners.masshiway.net

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.

• Physicians of Cape Cod Hospital

  • Neuroradiology Physician
  • Hyannis, MA
  • NPI 1679832364
  Medicare reassignment Care Compare group NPD
• The McLean Hospital Corporation

  dba McLean Professional Practice Group

  • Psychiatry Physician
  • Belmont, MA
  • NPI 1114979580
  Medicare reassignment Care Compare group NPD
• Physicians of Falmouth Hospital

  • Internal Medicine Physician
  • Falmouth, MA
  • NPI 1821363698
  Medicare reassignment NPD
• Brooks - TLC Hospital System, Inc.

  • Urgent Care Clinic/Center
  • Gowanda, NY
  • NPI 1487738886
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cape Cod Hospital Inc

  dba Cape Cod Hospital

  • General Acute Care Hospital
  • Hyannis, MA
  • NPI 1114984671
  Care Compare affiliation

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063526937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MILL ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024781041",
            "telephone_number": "617-855-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MILL ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024781041",
            "telephone_number": "617-855-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGUNOVIC-SOTELO",
        "first_name": "OLIVERA",
        "middle_name": "JOVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MA",
            "license": "211579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVERA",
            "last_name": "BOGUNOVIC",
            "middle_name": "JOVAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kristin Beville, LICSW
• Sheldon C Binder, M.D.
• Blaise C. Eckert, DDS
• Sallye F. Bleiberg, MSW
• J. Alexander Bodkin, M.D.
• Kirsten W Bolton, LICSW
• Paula S Bolton, APRN, BC
• Jay Harold Bonnar, M.D.
• Dorothy Booth
• Leora Borek, M.D.

• Addiction Psychiatry Physician in Belmont, MA
• Providers in Belmont, MA by specialty
• Addiction Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.