Individual provider Active NPI

David J Bozak, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Altoona, PA
National Provider Identifier
1841482502
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS015167 Issued in PA
Practice address
3000 Fairway Drive
Blair Orthopedics
Altoona, PA 16602
Phone
(814) 942-1166
Fax
(814) 942-6222
NPI assigned
Aug 15, 2007
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X P21938 MD
Physical Medicine & Rehabilitation Physician 208100000X OS015167 PA Primary

Addresses

Primary practice location

3000 Fairway Drive
Blair Orthopedics
Altoona, PA 16602

Mailing address

3000 Fairway Drive
Blair Orthopedics
Altoona, PA 16602
Phone (814) 942-1166

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
I20101008000515 PA Practitioner - Physical Medicine and Rehabilitation 2567654544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Highpoint Pain and Rehabilitation Physicians PCGroup PAC ID 6507000239, 3 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1500 Horizon Dr
Suite 102B
Chalfont, PA 18914-3966
Phone (215) 395-8888

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

401 W Broad St
Suite 1
Quakertown, PA 18951-1264
Phone (215) 395-8888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P21938MDMDPhysical Medicine & Rehabilitation Physician
OS015167PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highpoint Pain & Rehabilitation Physicians PC CurrentSince May 1, 2017 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1500 Horizon Dr
Ste 102B
Chalfont, PA 18914
Phone (215) 395-8888

401 W Broad St
Ste 1
Quakertown, PA 18951
Phone (215) 395-8888

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

Hospital & facility affiliations 2

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": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1841482502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 FAIRWAY DRIVE",
            "address_2": "BLAIR ORTHOPEDICS",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16602",
            "telephone_number": "814-942-1166",
            "fax_number": "814-942-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 FAIRWAY DRIVE",
            "address_2": "BLAIR ORTHOPEDICS",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16602",
            "telephone_number": "814-942-1166",
            "fax_number": "814-942-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZAK",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "P21938",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS015167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.