Individual provider Active NPI

James Winston Bogener, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Skokie, IL
National Provider Identifier
1669417416
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
036157880 Issued in IL
Practice address
9650 Gross Point Rd Ste 2900
Skokie, IL 60076-5006
Phone
(847) 866-7846
Fax
(224) 251-2910
NPI assigned
Jun 17, 2006
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 2007018003 MO
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 04-33092 KS
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 036157880 IL Primary

Addresses

Primary practice location

9650 Gross Point Rd Ste 2900
Skokie, IL 60076-5006

Mailing address

9650 Gross Point Rd Ste 2900
Skokie, IL 60076-5006
Phone (847) 866-7846

Other practice location 1

2301 Holmes St
Department of Orthopaedic Surgery
Kansas City, MO 64108-2640
Phone (816) 404-1000

Other practice location 2

2101 Charlotte St
Kansas City, MO 64108-2727
Phone (816) 404-0072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140314000927 MO Practitioner - Orthopedic Surgery 6204006893 Reassigns benefits to 1 organization
I20210901003531 IL Practitioner - Orthopedic Surgery 6204006893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

9650 Gross Point Rd
Suite 2900
Skokie, IL 60076-5006
Phone (224) 251-2468

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036157880ILMDOrthopaedic Foot and Ankle Surgery Physician
04-33092KSMDOrthopaedic Foot and Ankle Surgery Physician
2007018003MOMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Aug 23, 2021 Accepting new patients
Endeavor Health Medical Group CurrentSince Aug 23, 2021 Accepting new patients
University Health Physicians CurrentSince Jan 15, 2014 Accepting new patients
Salina Sports Medicine & Orthopedic Clinic PastSince Jul 9, 1990 Accepting new patients
Orthopaedic Clinic of Salina Foot and Ankle Surgery PastSince Sep 1, 2002 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

9650 Gross Point Rd
Ste 2900
Skokie, IL 60076

2101 Charlotte St
Kansas City, MO 64108
Phone (816) 404-0072

2301 Holmes St
Kansas City, MO 64108

2310 Holmes St
Ste 800
Kansas City, MO 64108
Phone (816) 218-2500

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

Interoperability endpoints

  • Direct secure messaging: james.bogener@direct.tmcmed.org

Organizations & group practices 5

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 7

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1669417416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 GROSS POINT RD STE 2900",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600765006",
            "telephone_number": "847-866-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 GROSS POINT RD STE 2900",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600765006",
            "telephone_number": "847-866-7846",
            "fax_number": "224-251-2910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Holmes St",
            "address_2": "Department of Orthopaedic Surgery",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082640",
            "country_code": "US",
            "telephone_number": "816-404-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 Charlotte St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082727",
            "country_code": "US",
            "telephone_number": "816-404-0072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGENER",
        "first_name": "JAMES",
        "middle_name": "WINSTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "MO",
            "license": "2007018003",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "KS",
            "license": "04-33092",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "IL",
            "license": "036157880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.