Individual provider Active NPI

Andrea Cathryn Bozoki, M.D.

  • Behavioral Neurology & Neuropsychiatry Physician
  • Chapel Hill, NC
National Provider Identifier
1588606982
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
2020-03840 Issued in NC
Practice address
194 Finley Golf Course Rd Ste 200
Chapel Hill, NC 27517-4403
Phone
(984) 974-4401
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 4301063651 MI
Neurology Physician 2084N0400X 01083537A IN
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 2020-03840 NC Primary

Addresses

Primary practice location

194 Finley Golf Course Rd Ste 200
Chapel Hill, NC 27517-4403

Mailing address

170 Manning Drive CB 7025
Chapel Hill, NC 27599-7025
Phone (919) 843-1220

Other practice location 1

804 Service Rd
Room A217
East Lansing, MI 48824-1376
Phone (517) 353-8122

Other practice location 2

2231 Carew St
Fort Wayne, IN 46805-4713
Phone (260) 425-6780

Other identifiers 2

IdentifierTypeStateIssuer
4299577MedicaidMI
1588606982MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20201116001208 NC Practitioner - Neurology 9133258973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01083537AINMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Sep 4, 2020 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Sep 4, 2020 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

300 Meadowmont Village Cir
Ste 202
Chapel Hill, NC 27517
Phone (984) 974-2950

194 Finley Golf Course Rd
Ste 200
Chapel Hill, NC 27517
Phone (919) 445-0870

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

Interoperability endpoints

  • Direct secure messaging: abozoki655946@direct.unc.nchie.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 and National Provider Directory roles.

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1588606982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MANNING DRIVE CB 7025",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997025",
            "telephone_number": "919-843-1220",
            "fax_number": "517-432-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 FINLEY GOLF COURSE RD STE 200",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275174403",
            "telephone_number": "984-974-4401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 Service Rd",
            "address_2": "Room A217",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488241376",
            "country_code": "US",
            "telephone_number": "517-353-8122",
            "fax_number": "517-432-3713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2231 Carew St",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468054713",
            "country_code": "US",
            "telephone_number": "260-425-6780",
            "fax_number": "260-425-6615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOZOKI",
        "first_name": "ANDREA",
        "middle_name": "CATHRYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "MI",
            "license": "4301063651",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01083537A",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NC",
            "license": "2020-03840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4299577",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588606982",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.