Active NPI
Ronald E Bokulic, DO
- Pediatric Pulmonology Physician
- Cincinnati, OH
National Provider Identifier
1851472088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 34.003636
- Practice address
- 3333 Burnet Ave
ML 2021
Cincinnati, OH 45229-3026 - Phone
- (513) 636-6771
- Fax
- (513) 636-4615
- NPI assigned
- Oct 17, 2006
- Last updated
- Nov 17, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | 34.003636 | OH | Primary |
Addresses
Primary practice location
3333 Burnet Ave
ML 2021
Cincinnati, OH 45229-3026
Mailing address
3333 Burnet Ave.
ML 2021
Cincinnati, OH 45229-3026
Phone (513) 636-6771
Other practice location 1
3333 Burnet Ave
ML 2021
Cincinnati, OH 45229-3039
Phone (513) 636-4225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robin T Cotton, MD, Inc | Past | Accepting new patients | |
| Anderson Hills Pediatrics Inc | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/22771/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
dba Cincinnati Children's Hospital Medical Center
- Pediatrics Physician
- Cincinnati, OH
- NPI 1609915784
KY
-
- Pediatrics Physician
- Cincinnati, OH
- NPI 1053440180
-
- Pediatric Otolaryngology Physician
- Cincinnati, OH
- NPI 1003100322
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510876800000",
"number": "1851472088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVE.",
"address_2": "ML 2021",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-6771",
"fax_number": "513-636-4615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"address_2": "ML 2021",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-6771",
"fax_number": "513-636-4615"
}
],
"practiceLocations": [
{
"address_1": "3333 Burnet Ave",
"address_2": "ML 2021",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452293039",
"country_code": "US",
"telephone_number": "513-636-4225",
"fax_number": "513-636-2511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOKULIC",
"first_name": "RONALD",
"middle_name": "E",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2017-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "OH",
"license": "34.003636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.