Individual provider Active NPI

Ieva Bogojevic, PA-C

  • Physician Assistant
  • Naples, FL
National Provider Identifier
1740725662
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110069 Issued in FL
Practice address
399 9TH St N Ste 300
Naples, FL 34102-5820
Phone
(239) 624-4200
Fax
(239) 624-4201
NPI assigned
Jan 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9110069 FL Primary

Addresses

Primary practice location

399 9TH St N Ste 300
Naples, FL 34102-5820

Mailing address

399 9TH St N Ste 300
Naples, FL 34102-5820
Phone (239) 624-4200

Other identifiers 3

IdentifierTypeStateIssuer
024119700MedicaidFL
2YTXCOtherFLBCBS
JH424ZOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170725004307 FL Practitioner - Physician Assistant 3870863731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nchmd IncGroup PAC ID 9436139565, 503 clinicians

Practice addresses (Care Compare)

350 7TH St N
Naples, FL 34102-5754

680 2ND Ave N
Suite 304
Naples, FL 34102-5757
Phone (239) 261-7711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd Inc CurrentSince Apr 1, 2018 Accepting new patients
Nchmd, Inc CurrentSince Apr 1, 2018 Accepting new patients

Locations

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

399 Tamiami Trl N
Ste 300
Naples, FL 34102
Phone (239) 624-4200

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: ibogojevic22703@nchhealthcaresystem.direct-ci.com

Organizations & group practices 2

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 1

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": "1483315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1740725662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 9TH ST N STE 300",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025820",
            "telephone_number": "239-624-4200",
            "fax_number": "239-624-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 9TH ST N STE 300",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025820",
            "telephone_number": "239-624-4200",
            "fax_number": "239-624-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGOJEVIC",
        "first_name": "IEVA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-02",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024119700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2YTXC",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "JH424Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.