Boris Boguslavskiy, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

306933 Issued in NY

Practice address

5656 S Power Rd Ste 132
Gilbert, AZ 85295-8490

Phone

(917) 691-3131

NPI assigned

Sep 10, 2014

Last updated

Feb 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, AZ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sorin Medical PCGroup PAC ID 5193966059, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: boris.boguslavskiy.1@8181.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/20695/brand/1/csg/1/fhir/r4

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.

• Sorin Medical PC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1942543053
  Medicare reassignment Care Compare group NPD
• Flagstaff Pain & Treatment Center

  dba Virtuous Pain Centers

  • Pain Medicine (Anesthesiology) Physician
  • Flagstaff, AZ
  • NPI 1073127858
  Medicare reassignment NPD
• Heart & Vascular Center of Arizona, PLLC

  • Cardiovascular Disease Physician
  • Phoenix, AZ
  • NPI 1255379541
  Medicare reassignment NPD
• Optimal Mens Center PLLC

  • Family Medicine Physician
  • Goodyear, AZ
  • NPI 1811535974
  Medicare reassignment NPD
• Optimal Spine & Health Center Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Gilbert, AZ
  • NPI 1386835965
  Medicare reassignment NPD
• Nicolette Joanna Leone, DC

  • Chiropractor
  • Scottsdale, AZ
  • NPI 1558767681
  Medicare reassignment
• Optimal Health and Wellness Center PLLC

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Goodyear, AZ
  • NPI 1760366884
  NPD
• Afc Physical Medicine of Gilbert, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Gilbert, AZ
  • NPI 1528345881
  NPD (past)
• RB Physical and Occupational Therapy PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1790013282
  NPD (past)

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1689075509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 S POWER RD STE 132",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958490",
            "telephone_number": "917-691-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 S POWER RD STE 132",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958490",
            "telephone_number": "917-691-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGUSLAVSKIY",
        "first_name": "BORIS",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-10",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ericka Boeger, PT, DPT
• Angela M Boehm II
• Emilia Boer, PA-C
• Yolanta Boese, P.T.
• Jhinelle Boggie, LCSW
• Amy E Bohan, MD
• Taylor Phillip Bohne, PT, DPT, ATC, LAT
• Boj Health Corp (Boj Residential Home)
• Sarah Lee Bolander, DMSC, PA-C, DFAAPA
• Steve Babyboy Bolay

• Adult Health Nurse Practitioner in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.