Individual provider Active NPI

George David Bojrab, MD

  • Interventional Pain Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1891768537
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
01040336A Issued in IN
Practice address
10228 Dupont Circle Dr E
Fort Wayne, IN 46825-1611
Phone
(260) 490-2525
Fax
(260) 490-7254
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 01040336A IN Primary
Certified Registered Nurse Anesthetist 367500000X 01040336A IN

Addresses

Primary practice location

10228 Dupont Circle Dr E
Fort Wayne, IN 46825-1611

Mailing address

10228 Dupont Circle Dr East
Fort Wayne, IN 46825
Phone (260) 490-2525

Other identifiers 1

IdentifierTypeStateIssuer
200037800AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20060406000121 IN Practitioner - Interventional Pain Management 3678474509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Indiana University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10228 Dupont Circle Dr E
Fort Wayne, IN 46825-1611
Phone (260) 490-2525

Hospital & facility affiliations

  • Dupont Hospital LLC Hospital, Fort Wayne, IN, CCN 150150
  • The Orthopaedic Hospital of Lutheran Health Networ Hospital, Ft Wayne, IN, CCN 150168
  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021
  • Kosciusko Community Hospital Hospital, Warsaw, IN, CCN 150133
  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as individual
Quality
84.29
Promoting interoperability
95
Improvement activities
40
Cost
83.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01040336AINMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management and Anesthesia Associates Interventional Pain Medicine CurrentSince Jul 1, 2000 Accepting new patients
Lima Memorial Joint Operating Company Interventional Pain Medicine Past Accepting new patients

Locations

10228 DuPont Circle Dr E
#200
Fort Wayne, IN 46825

10228 DuPont Circle Dr E
Fort Wayne, IN 46825
Phone (219) 490-2525

Interoperability endpoints

  • Direct secure messaging: gdavidbojrab@pmapc.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1891768537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10228 DUPONT CIRCLE DR EAST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46825",
            "telephone_number": "260-490-2525",
            "fax_number": "260-490-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10228 DUPONT CIRCLE DR E",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251611",
            "telephone_number": "260-490-2525",
            "fax_number": "260-490-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOJRAB",
        "first_name": "GEORGE",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01040336A",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "01040336A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200037800A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.