Active NPI
Branko Bojovic, M.D.
- Plastic and Reconstructive Surgery Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- D72525
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1544 - Phone
- (410) 328-6704
- Fax
- (410) 328-4124
- NPI assigned
- Jul 20, 2007
- Last updated
- May 1, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 221840 | MA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | D72525 | MD | Primary |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
PO Box 64793
Baltimore, MD 21264-4793
Phone (410) 328-6704
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420596100 | Medicaid | MD | |
| 0142 | Other | MD | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- State University of New York at Buffalo School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221840 | MA | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| The Shriners' Hospital for Children | Current | Accepting new patients | |
| The Shriners' Hospital for Children | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| The Shriners' Hospital for Children | Current | Accepting new patients | |
| The Shriners' Hospital for Children | Past | Accepting new patients |
Locations
15 Parkman St
Boston, MA 02114
Phone (617) 726-3023
15 Parkman St
#435
Boston, MA 02114
Phone (617) 726-8554
51 Blossom St
Boston, MA 02114
Phone (617) 371-4762
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
516 Carew St
Springfield, MA 01104
Phone (413) 787-2000
Interoperability endpoints
- bojovic.branko.mgh@direct.partners.masshiway.net
Organizations & group practices 7
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.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Pediatric Orthopaedic Surgery Physician
- Springfield, MA
- NPI 1285078444
-
dba Massachusetts General Hospital Outpatient Pharmacy
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Pediatric Surgery Physician
- Boston, MA
- NPI 1366886525
-
- Rehabilitation Clinic/Center
- Springfield, MA
- NPI 1811611825
-
- Children's Hospital
- Boston, MA
- NPI 1114053782
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1689874398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64793",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644793",
"telephone_number": "410-328-6704",
"fax_number": "410-328-4124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-328-6704",
"fax_number": "410-328-4124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOJOVIC",
"first_name": "BRANKO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-20",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MA",
"license": "221840",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MD",
"license": "D72525",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "420596100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0142",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.