Individual provider Active NPI

Mark D Bogar, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
National Provider Identifier
1235100462
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
L3246 Issued in TX
Practice address
330 W Ben White Blvd
Austin, TX 78704-8095
Phone
(512) 730-4800
Fax
(888) 975-0945
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X L3246 TX Primary

Addresses

Primary practice location

330 W Ben White Blvd
Austin, TX 78704-8095

Mailing address

PO Box 161581
Austin, TX 78716-1581
Phone (512) 363-5779

Other identifiers 1

IdentifierTypeStateIssuer
150774101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20080118000618 TX Practitioner - Physical Medicine and Rehabilitation 8729011184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Texas Medical School at Houston, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

330 W Ben White Blvd
Austin, TX 78704-8095
Phone (512) 705-7383

Hospital & facility affiliations

  • Encompass Health Rehabilitation Hospital of Austin Inpatient rehabilitation facility, Austin, TX, CCN 673054

Merit-based Incentive Payment System (MIPS)

Final score
96.67 of 100Reported as individual
Quality
83.33
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mark D. Bogar, MD, PA Physical Medicine & Rehabilitation CurrentSince Nov 7, 2007 Accepting new patients
Physical Medicine and Rehabilitation Associates Physical Medicine & Rehabilitation PastSince Apr 17, 2020 Accepting new patients
Encompass Health Rehabilitation Hospital of Austin, LLC Past Accepting new patients

Locations

330 W Ben White Blvd
Austin, TX 78704
Phone (512) 705-7383

Interoperability endpoints

  • Direct secure messaging: mark.bogarmd@direct.myteamcare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1235100462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161581",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787161581",
            "telephone_number": "512-363-5779",
            "fax_number": "512-292-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W BEN WHITE BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787048095",
            "telephone_number": "512-730-4800",
            "fax_number": "888-975-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGAR",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "L3246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150774101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.