Active NPI
Andrzej S. Boguszewski, M.D.
- Interventional Cardiology Physician
- Midland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 4301077917
- Practice address
- 301 W Wackerly St
Midland, MI 48640-2761 - Phone
- (989) 832-0900
- NPI assigned
- Dec 1, 2006
- Last updated
- Mar 7, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301077917 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | 4301077917 | MI | |
| Nuclear Cardiology Physician | 207UN0901X | 4301077917 | MI | |
| Interventional Cardiology Physician | 207RI0011X | 4301077917 | MI | Primary |
Addresses
Primary practice location
301 W Wackerly St
Midland, MI 48640-2761
Mailing address
301 W Wackerly St
Midland, MI 48640-2761
Phone (989) 832-0900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301077917 | Other | MI | PHYSICIAN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
170 N Caseville Rd
Pigeion, MI 48755-9704
Phone (989) 839-3538
200 Hemlock Rd
Tawas City, MI 48763-2000
Phone (989) 839-3060
2660 W Sugnet Rd
Midland, MI 48640-2647
300 E Warwick Dr
Alma, MI 48801-1014
Phone (989) 463-1101
320 E Warwick Dr
Wound Treatment Center
Alma, MI 48801-1014
Phone (989) 466-7020
4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 633-8018
4500 Campus Ridge Dr
Midland, MI 48640-6123
Phone (989) 837-9250
515 Quarter St
Gladwin, MI 48624-1959
Phone (989) 426-9286
703 N McEwan St
Clare, MI 48617-1440
Phone (989) 802-5000
Hospital & facility affiliations
- Mymichigan Medical Center Midland
- Mymichigan Medical Center Clare
- Scheurer Hospital
- Mymichigan Medical Center Alma
- Mymichigan Medical Center Gladwin
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 52 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301077917 | MI | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Internal Medicine | Current | Accepting new patients |
Locations
300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104
602 Beech St
Ste 1230
Clare, MI 48617
Phone (989) 802-8415
703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000
515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201
609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371
815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096
9249 W Lake City Rd
Houghton Lake, MI 48629
Phone (989) 422-2183
2618 W Sugnet Rd
Midland, MI 48640
Phone (989) 633-5237
2660 W Sugnet Rd
Midland, MI 48640
Phone (989) 488-5010
301 W Wackerly St
Midland, MI 48640
Phone (989) 488-5850
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
4401 N Campus Ridge Dr
Ste C2100
Midland, MI 48640
Phone (989) 837-9033
4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250
170 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-3223
Interoperability endpoints
- aboguszewski371693@direct.hfhs.org
- aboguszewski6260@mymichiganhealth.midirect.net
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Midland, MI
- NPI 1205889490
-
- Anesthesiology Physician
- Midland, MI
- NPI 1649010455
-
- Neuromusculoskeletal Medicine & OMM Physician
- Midland, MI
- NPI 1982731659
Internal Medicine
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alma, MI
- NPI 1023097771
-
- General Acute Care Hospital
- Clare, MI
- NPI 1568414589
-
- Critical Access Hospital
- Gladwin, MI
- NPI 1235248071
-
dba Family Practice Center
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
-
dba Scheurer Orthopedics
- Orthopaedic Surgery Physician
- Bad Axe, MI
- NPI 1023836947
Hospital
-
dba Scheurer Pain Management
- Interventional Pain Medicine Physician
- Pigeon, MI
- NPI 1336921659
Hospital
-
dba Scheurer General Surgery - Pigeon
- Surgery Physician
- Pigeon, MI
- NPI 1366574113
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1063580595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W WACKERLY ST",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486402761",
"telephone_number": "989-832-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W WACKERLY ST",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486402761",
"telephone_number": "989-832-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGUSZEWSKI",
"first_name": "ANDRZEJ",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301077917",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301077917",
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "MI",
"license": "4301077917",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MI",
"license": "4301077917",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LICENSE",
"identifier": "4301077917",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.