Petr Bocek, MD, PHD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

D0061993 Issued in MD

Practice address

8100 Ashton Ave Ste 207B
Manassas, VA 20109-5688

Phone

(855) 528-7348

Fax

(855) 329-2873

NPI assigned

May 8, 2007

Last updated

Apr 25, 2024By 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 4

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 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

Specialty

Allergy/Immunology

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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.

• Premier Allergy and Asthma Centers, LLC

  • Allergy & Immunology Physician
  • Manassas, VA
  • NPI 1255954764

  DC, Single Specialty

  Medicare reassignment NPD Authorized official
• A2 Medical Group, Inc.

  dba Allergy Care Centers/Allergy and Asthma Care Centers

  • Specialist
  • Vienna, VA
  • NPI 1558651364
  NPD (past)
• Allergy Care Centers of Virginia Inc

  • Allergy Physician
  • Vienna, VA
  • NPI 1740228741

  Single Specialty

  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1790998458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20528 BOLAND FARM RD STE 214",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764038",
            "telephone_number": "855-528-7348",
            "fax_number": "855-329-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 ASHTON AVE STE 207B",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095688",
            "telephone_number": "855-528-7348",
            "fax_number": "855-329-2873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20528 Boland Farm Rd Ste 214",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208764038",
            "country_code": "US",
            "telephone_number": "855-528-7348",
            "fax_number": "855-329-2873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOCEK",
        "first_name": "PETR",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0061993",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101223417",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0101342217",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "D0061993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prince Boafo
• Timothy Capers Boan, PA-C
• Portia Boateng
• Amy Kathleen Boazman-Steele
• Erin Boccardo, M.S. CCC-SLP
• Jessa-Marie L Boehm, M.S.
• Nirmal Cuda Bogollagama, DDS
• Olubukola David Bolaji, MD
• Bonrifuh Investment Group Inc (Bonrifuh Proficient Care Services)
• Amy Sue Bookwalter, CD(DONA), LCCE

• Allergy & Immunology Physician in Manassas, VA
• Providers in Manassas, VA by specialty
• Allergy & Immunology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.