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DR. CHARLES MIKELL BOVA M.D.
NPI 1013071885
Physical Medicine & Rehabilitation - Pain Medicine in West Valley City, UT

Active since December 19, 2006PECOS Enrolled
3336 PIONEER PKWY, SUITE 204, WEST VALLEY CITY, UT 84120(801) 964-3249 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Charles Mikell Bova M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES MIKELL BOVA M.D. (NPI 1013071885) is an individual pain medicine provider in West Valley City, Utah, licensed in Utah (185699) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013071885
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameDR. CHARLES MIKELL BOVACredential: M.D.
Location Address3336 PIONEER PKWY, SUITE 204West Valley City, UT 84120-2000
Mailing Address3065 Oak Rim LnPark City, UT 84060-6804 · (435) 655-8648
Phone(801) 964-3249
Sole ProprietorNo
Enumeration DateDecember 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013071885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in UT · 185699
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
3336 PIONEER PKWY, West Valley City, UT 84120
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Other Identifiers 1

Medicare UPIND43054UT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Mikell Bova M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Charles Bova reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dhhs Phs Naihs Chinle Comprehensive Health Care Facility
303 mi
General Acute Care Hospital
HWY 191
Rock Point, AZ 86545
  • Reassigned Medicare billing, Texas enrollment
  • 476 clinicians in this Medicare group
NPI 1154344133 (928) 659-4282

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KATHERINE BREWSTER DEMCAK PTA
Physical Therapy Assistant
3336 PIONEER PKWY
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 964-3903
SPINE AND SPORTS MEDICINE INC
Pain Medicine (Interventional Pain Medicine)
3336 PIONEER PKWY, SUITE 204
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 964-3249
ROSS M JARRETT PA
Orthopaedic Surgery
3336 PIONEER PKWY, SUITE 203
SALT LAKE CITY, UT 84120
Salt Lake County (801) 964-3925
JOHN LYNN SMITH MD
Surgery
3336 PIONEER PKWY, SUITE 203
SALT LAKE CITY, UT 84120
Salt Lake County (801) 964-3925
DENNIS H GORDON MD
Orthopaedic Surgery
3336 PIONEER PKWY, SUITE 203
SALT LAKE CITY, UT 84120
Salt Lake County (801) 964-3925
SPINE & SPORTS MEDICINE
Pain Medicine (Pain Medicine)
3336 PIONEER PKWY, #204
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 261-1946
DR. JOHN HOWARD LOOMIS III D.O.
Family Medicine
3336 PIONEER PKWY, #204
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 964-3249
RYAN DENNIS WIGHT PA-C
Physician Assistant
3336 PIONEER PKWY, SUITE 302
WEST VALLEY, UT 84120
Salt Lake County (617) 314-2172

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Bova's NPI number?

The NPI number for Charles Bova is 1013071885. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Charles Bova located?

Charles Bova practices at 3336 Pioneer Pkwy Suite 204, West Valley City, UT 84120. The listed phone number is (801) 964-3249.

What is Charles Bova's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Charles Bova enrolled in Medicare?

Yes. Charles Bova is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Bova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Bova reassigns Medicare benefits to Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (Rock Point, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Bova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Bova was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.