Individual provider Active NPI

Stephen A Bogush, MD

  • Anesthesiology Physician
  • Langhorne, PA
National Provider Identifier
1811984883
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD064721L Issued in PA
Practice address
1203 Langhorne Newtown Rd
Langhorne, PA 19047-1209
Phone
(215) 710-2196
Fax
(215) 710-2408
NPI assigned
Oct 4, 2005
Last updated
Apr 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD064721L PA Primary

Addresses

Primary practice location

1203 Langhorne Newtown Rd
Langhorne, PA 19047-1209

Mailing address

1203 Langhorne Newtown Rd
Langhorne, PA 19047-1209
Phone (215) 710-2196

Other identifiers 1

IdentifierTypeStateIssuer
0016995010008MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050614001141 PA Practitioner - Anesthesiology 7315981974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Pennsylvania State University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Anesthesia Services PCGroup PAC ID 3173437613, 437 clinicians

Practice addresses (Care Compare)

595 W State St Doylestown Hospital
Doylestown, PA 18901-2597
Phone (215) 345-2321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD064721LPAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Anesthesia Services PC Anesthesiology CurrentSince Jan 1, 2024 Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Anesthesiology CurrentSince Feb 1, 2022 Accepting new patients
Aria Health Physician Services Past Accepting new patients
MRI Physician Associates, PC Past Accepting new patients
Sjmgroup Past Accepting new patients

Locations

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

1203 Langhorne Newtown Rd
Langhorne, PA 19047
Phone (215) 710-7427

1203 Langhorne Newtown Rd
#C
Langhorne, PA 19047
Phone (215) 809-2600

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

744 Lancaster Ave
Wayne, PA 19087
Phone (215) 244-7400

Organizations & group practices 5

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240444800000",
    "number": "1811984883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 LANGHORNE NEWTOWN RD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471209",
            "telephone_number": "215-710-2196",
            "fax_number": "215-710-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 LANGHORNE NEWTOWN RD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471209",
            "telephone_number": "215-710-2196",
            "fax_number": "215-710-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGUSH",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2009-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD064721L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016995010008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.