DR. ASHISH B BOGHANI MD
NPI 1386678563
Hospitalist in Rochester, NY

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
85.17/100
CMS Quality Rating
1000 SOUTH AVE, HIGHLAND HOSPITAL, ROCHESTER, NY 14620(585) 473-2200(585) 341-8096 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ashish B Boghani Md NPPES

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

DR. ASHISH B BOGHANI MD (NPI 1386678563) is an individual hospitalist provider in Rochester, New York, licensed in New York (207973) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1386678563
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. ASHISH B BOGHANICredential: MD
Location Address1000 SOUTH AVE, HIGHLAND HOSPITALRochester, NY 14620-2733
Mailing Address131 Roby DrRochester, NY 14618-2113 · (585) 242-0124 · Fax (585) 461-4941
Fax(585) 341-8096
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 5, 2023
NPI 1386678563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NY · 207973
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1000 SOUTH AVE, Rochester, NY 14620

Other Identifiers 3

Medicaid01852262NY
Other101725BJNY · Preferred Care
OtherP010207973NY · Blue Choice

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

Dr. Ashish B Boghani Md 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 ID9133304173
PECOS Enrollment IDI20110506000247
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
223 services93 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
59 services36 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
40 services40 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services19 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
18 services16 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14620 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.92
Promoting Interoperability100
Improvement Activities40
Cost62.98

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.89 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.32 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$67.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacist
1000 SOUTH AVE
ROCHESTER, NY 14620
Dietitian, Registered
1000 SOUTH AVE, BOX 95
ROCHESTER, NY 14620
Obstetrics & Gynecology
1000 SOUTH AVE
ROCHESTER, NY 14620
Dietitian, Registered
1000 SOUTH AVE
ROCHESTER, NY 14620
Nurse Practitioner (Gerontology)
1000 SOUTH AVE
ROCHESTER, NY 14620
Internal Medicine
1000 SOUTH AVE
ROCHESTER, NY 14620
Specialist
1000 SOUTH AVE, # 95
ROCHESTER, NY 14620
Nurse Anesthetist, Certified Registered
1000 SOUTH AVE
ROCHESTER, NY 14620

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 Ashish Boghani's NPI number?

The NPI number for Ashish Boghani is 1386678563. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Ashish Boghani located?

Ashish Boghani practices at 1000 South Ave Highland Hospital, Rochester, NY 14620. The listed phone number is (585) 473-2200.

What is Ashish Boghani's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ashish Boghani enrolled in Medicare?

Yes. Ashish Boghani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ashish Boghani affiliated with any hospitals?

According to CMS data, Ashish Boghani is affiliated with Highland Hospital.

When was this NPI record last updated?

The NPPES record for Ashish Boghani was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.