DAVID BOGOLUB DO
NPI 1245279181
Emergency Medicine in Granite City, IL

Q: What is David Bogolub's NPI number?

The NPI number for David Bogolub is 1245279181. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Q: What is David Bogolub's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for David Bogolub 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.

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment

2100 MADISON AVE, GRANITE CITY, IL 62040(618) 798-3000(618) 798-3885 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About David Bogolub Do NPPES

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

DAVID BOGOLUB DO (NPI 1245279181) is an individual emergency medicine provider in Granite City, Illinois and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Gov Juan F Luis Hospital & Medical Ctr, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1245279181

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDAVID BOGOLUBCredential: DO

Location Address2100 MADISON AVEGranite City, IL 62040-4701

Mailing Address3836 N Tripp Ave, XxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxChicago, IL 60641-3011 · (630) 941-4330 · Fax (630) 941-4333

Phone(618) 798-3000

Fax(618) 798-3885

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateJune 6, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1245279181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2100 MADISON AVE, Granite City, IL 62040

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Bogolub Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941233704

PECOS Enrollment IDI20191202001155

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

124 services114 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

107 services105 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

46 services42 patients

Emergency department visit with straightforward medical decision making 99282

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gov Juan F Luis Hospital & Medical Ctr

Acute Care Hospitals · St Croix, VI

OwnershipGovernment - State

CMS Certification Number480002

Location#4007 Est Diamond Ruby, ChristianstedSt Croix, VI 00820 · Saint Croix Island County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

GRANITE CITY CLINIC CORP

Nurse Anesthetist, Certified Registered