Individual provider Active NPI

Ronald Scott Bukoski, MD

  • Dermatology Physician
  • Richmond, VA
National Provider Identifier
1811526379
Registry record updated Jul 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101281638 Issued in VA
Practice address
7813 Shrader Rd
Richmond, VA 23294-4210
Phone
(804) 264-4545
Fax
(804) 264-4260
NPI assigned
Apr 6, 2020
Last updated
Jul 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101281638 VA Primary
Procedural Dermatology Physician 207NS0135X 0101281638 VA

Addresses

Primary practice location

7813 Shrader Rd
Richmond, VA 23294-4210

Mailing address

7813 Shrader Rd
Richmond, VA 23294-4210
Phone (804) 264-4545

Other practice location 1

2510 Gaskins Rd
Richmond, VA 23238-1481
Phone (804) 282-4940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20240701002106 VA Practitioner - Dermatology 8426473604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Virginia Commonwealth University, School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christine S Rausch MD PCGroup PAC ID 8123046497, 9 clinicians

Practice addresses (Care Compare)

7813 Shrader Rd
Richmond, VA 23294-4210
Phone (804) 282-4940

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision52
Removal of skin lesions661
Removal or shaving of skin growth1-10
Skin biopsy294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101281638VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christine S. Rausch, MD PC CurrentSince Oct 1, 2024 Accepting new patients
Adov Dermatology CurrentSince Apr 21, 2024 Accepting new patients
Skin Surgery Center of Virginia PastSince Oct 1, 2016 Accepting new patients

Locations

2510 Gaskins Rd
Richmond, VA 23238
Phone (804) 282-4940

7813 Shrader Rd
Richmond, VA 23294
Phone (804) 264-4262

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720224000000",
    "number": "1811526379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7813 SHRADER RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944210",
            "telephone_number": "804-264-4545",
            "fax_number": "804-264-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7813 SHRADER RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944210",
            "telephone_number": "804-264-4545",
            "fax_number": "804-264-4260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 Gaskins Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232381481",
            "country_code": "US",
            "telephone_number": "804-282-4940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUKOSKI",
        "first_name": "RONALD",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101281638",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "VA",
            "license": "0101281638",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.