Individual provider Active NPI

Robert Dariusz Bogacki, MD

  • Internal Medicine Physician
  • Rocky Hill, CT
National Provider Identifier
1285642611
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
044576 Issued in CT
Practice address
546 Cromwell Ave
Suite 201
Rocky Hill, CT 06067-1857
Phone
(860) 257-9600
Fax
(860) 257-9696
NPI assigned
Aug 3, 2006
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 044576 CT Primary

Addresses

Primary practice location

546 Cromwell Ave
Suite 201
Rocky Hill, CT 06067-1857

Mailing address

546 Cromwell Ave
Suite 201
Rocky Hill, CT 06067-1800
Phone (860) 257-9600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rbogacki34706@direct.stfranciscare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20060810000297 CT Practitioner - Internal Medicine 9537162656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Collins Medical Associates 2 PCGroup PAC ID 3779486345, 43 clinicians

Practice addresses (Care Compare)

546 Cromwell Ave
Rocky Hill, CT 06067-1857
Phone (860) 257-9600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Collins Medical Associates 2 PC Internal Medicine CurrentSince Oct 1, 2008 Accepting new patients
Collins Medical Associates 2 PC Internal Medicine CurrentSince Oct 1, 2008 Accepting new patients
Johnson Professional Associates, PC Internal Medicine Past Accepting new patients

Locations

699A Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 242-0034

95 Woodland St
Fl 1
Hartford, CT 06105
Phone (860) 714-7362

546 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 529-6124

546 Cromwell Ave
Ste 201
Rocky Hill, CT 06067
Phone (860) 257-9600

162 Mountain Rd
Ste 2
Suffield, CT 06078
Phone (860) 278-3812

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27673/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rbogacki34706@direct.stfranciscare.org
  • Direct secure messaging: robert.bogacki.1@27673.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1285642611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 CROMWELL AVE",
            "address_2": "SUITE 201",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671800",
            "telephone_number": "860-257-9600",
            "fax_number": "860-257-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 CROMWELL AVE",
            "address_2": "SUITE 201",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671857",
            "telephone_number": "860-257-9600",
            "fax_number": "860-257-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGACKI",
        "first_name": "ROBERT",
        "middle_name": "DARIUSZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "044576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbogacki34706@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Saint Francis Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "546 Cromwell Ave",
            "address_2": "Suite 201",
            "city": "Rocky Hill",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060671857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

Verify at the official NPI Registry.