Carmen V Bogdan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301064314 Issued in MI

Practice address

2191 South Blvd
Suite 101C
Auburn Hills, MI 48326-3479

Phone

(248) 724-1420

Fax

(248) 724-1425

NPI assigned

May 2, 2006

Last updated

Sep 16, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Internal MedicineAlso: Family Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Internal Medicine and Cardiology Associates PCGroup PAC ID 1456352145, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michigan Internal Medicine and Cardiology Associates PC

  • Cardiovascular Disease Physician
  • Auburn Hills, MI
  • NPI 1003874983
  Medicare reassignment Care Compare group NPD
• Carmen V Bogdan MD PLLC

  • Internal Medicine Physician
  • Auburn Hills, MI
  • NPI 1669457602
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Joseph Mercy Hospital-SMHC

  dba St Joseph Mercy Oakland

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1053356352
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Troy

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Royal Oak

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Grosse Pointe

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1750349627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 JOSHUA DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075267",
            "telephone_number": "248-724-1420",
            "fax_number": "248-724-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 SOUTH BLVD",
            "address_2": "SUITE 101C",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263479",
            "telephone_number": "248-724-1420",
            "fax_number": "248-724-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDAN",
        "first_name": "CARMEN",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301064314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104726362",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramon Jafari Black, MA, LLPC
• Shallon Blackwell
• Jill Blevins, LMSW
• Blue Bus Medical Transport LLC
• Laurie J. Bogart, MA/LBSW
• Sarah Bogert, LLMSW
• Sainath Reddy Bokka
• Claudia Bolivar
• Danielle Marie Bongiorno
• Cutrell Booker

• Internal Medicine Physician in Auburn Hills, MI
• Providers in Auburn Hills, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.