Gregory P Bogdonoff, M.D

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

036076482 Issued in IL

Practice address

21120 Washington Pkwy
Frankfort, IL 60423-3112

Phone

(815) 469-9750

Fax

(815) 469-9752

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Anesthesiology

Education

Tufts University School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quantum Anesthesia Services LLCGroup PAC ID 7618100751, 10 clinicians

Mobile Anesthesiologists Chicago LLCGroup PAC ID 9436119542, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mobile Anesthesiologists Chicago LLC

  • Anesthesiology Physician
  • Rosemont, IL
  • NPI 1396887774
  Medicare reassignment Care Compare group NPD
• Quantum Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Saint Louis, MO
  • NPI 1033546833

  IL

  Medicare reassignment Care Compare group NPD
• Ambulatory Anesthesiologists of Chicago, LLC

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1659306272
  Medicare reassignment
• Advocate Southwest Ambulatory Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Tinley Park, IL
  • NPI 1316009194
  NPD (past)
• HLG Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Hinsdale, IL
  • NPI 1811932304
  NPD (past)
• West Central Anesthesiology Group LTD

  • Anesthesiology Physician
  • Rosemont, IL
  • NPI 1396785648
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1669414900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21120 WASHINGTON PKWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233112",
            "telephone_number": "815-469-9750",
            "fax_number": "815-469-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21120 WASHINGTON PKWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233112",
            "telephone_number": "815-469-9750",
            "fax_number": "815-469-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDONOFF",
        "first_name": "GREGORY",
        "middle_name": "P",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036076482",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036076482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biohax Wellness and Aesthetics, LLC
• Biskup & Segui Pediatric Partners, P.C.
• Nicole A Biskup, M.D.
• Jenelle Renae Bixler
• Eugene C Blackwell Jr.
• Kimberly Jean Boggs, RD,LDN
• Tracey A Bohl
• Robert F Boll, D.O.
• Cami Bond, RPH
• Magdalena Borzecka

• Anesthesiology Physician in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.