Individual provider Active NPI

Gregory G. Bojrab, M.D.

  • Internal Medicine Physician
  • New Castle, IN
National Provider Identifier
1922090182
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01034797A Issued in IN
Practice address
152 Wittenbraker Ave
New Castle, IN 47362-5000
Phone
(765) 599-3100
Fax
(765) 518-5365
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01034797A IN Primary

Addresses

Primary practice location

152 Wittenbraker Ave
New Castle, IN 47362-5000

Mailing address

PO Box 485
New Castle, IN 47362-0485
Phone (765) 521-1516

Other identifiers 5

IdentifierTypeStateIssuer
200026740MedicaidIN
200311740FMedicaidIN
110215617OtherINMEDICARE RAILROAD #
000000112527OtherINANTHEM PIN#
4044692OtherINAENTA PIN#

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gbojrab@hcmh.cernerdirect.com Direct

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
I20100806000792 IN Practitioner - Internal MedicinePractitioner - Family Practice 9931232220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Indiana University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Memorial HospitalGroup PAC ID 6002724085, 153 clinicians

Practice addresses (Care Compare)

152 Wittenbraker Ave
New Castle, IN 47362-5035
Phone (765) 599-2754

PO Box
Suite 485
New Castle, IN 47362

Hospital & facility affiliations

  • Henry County Memorial Hospital Hospital, New Castle, IN, CCN 150030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01034797AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Memorial Hospital Internal Medicine Current Accepting new patients
Henry County Memorial Hospital Internal Medicine CurrentSince Apr 3, 2017 Accepting new patients
Henry County Memorial Hospital CurrentSince Apr 3, 2017 Accepting new patients
Major Hospital Past Accepting new patients
Hancock Regional Hospital Past Accepting new patients

Locations

6543 S State Road 109
Knightstown, IN 46148
Phone (765) 445-6155

2200 Forest Ridge Pkwy
Ste 310
New Castle, IN 47362
Phone (765) 599-3400

152 Wittenbraker Ave
New Castle, IN 47362
Phone (765) 521-1483

2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385

Interoperability endpoints

  • Direct secure messaging: gbojrab@hcmh.cernerdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1922090182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473620485",
            "telephone_number": "765-521-1516",
            "fax_number": "765-599-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 WITTENBRAKER AVE",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473625000",
            "telephone_number": "765-599-3100",
            "fax_number": "765-518-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOJRAB",
        "first_name": "GREGORY",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01034797A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200026740",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200311740F",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD #",
            "identifier": "110215617",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN#",
            "identifier": "000000112527",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AENTA PIN#",
            "identifier": "4044692",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gbojrab@hcmh.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "152 Wittenbraker Ave",
            "city": "New Castle",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473625000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Castle, IN

Sources for this page

Verify at the official NPI Registry.