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DR. EDWIN NDEMO BOGONKO MD
NPI 1447444666
Internal Medicine in Shakopee, MN

Active since August 30, 2007PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
1515 SAINT FRANCIS AVE, SUITE # 100, SHAKOPEE, MN 55379(952) 403-3535(952) 403-3599 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2021, Nov 10, 2020 (2 updates tracked since 2020).

About Dr. Edwin Ndemo Bogonko Md NPPES

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

DR. EDWIN NDEMO BOGONKO MD (NPI 1447444666) is an individual internal medicine provider in Shakopee, Minnesota, licensed in Minnesota (50217) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1447444666
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. EDWIN NDEMO BOGONKOCredential: MD
Location Address1515 SAINT FRANCIS AVE, SUITE # 100Shakopee, MN 55379-3387
Mailing Address1515 Saint Francis Ave, Suite # 100Shakopee, MN 55379-3387 · (952) 403-3535 · Fax (952) 403-3599
Phone(952) 403-3535
Fax(952) 403-3599
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateAugust 30, 2007
Last NPPES UpdateMarch 16, 20212 updates tracked since enumeration
NPPES CertifiedMarch 16, 2021
✔ NPI 1447444666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 50217
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 50217 (MN)
1515 SAINT FRANCIS AVE, Shakopee, MN 55379
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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

Dr. Edwin Ndemo Bogonko 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 ID7416045000
PECOS Enrollment IDI20071115000202, I20191003001275
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 10

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.
367 services216 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.
262 services141 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.
137 services127 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
127 services126 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.
93 services86 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.
28 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

St Francis Regional Medical Center

Acute Care Hospitals · Shakopee, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240104
Location1455 St Francis AvenueShakopee, MN 55379 · Scott County
Emergency services Birthing friendly

River's Edge Hospital & Clinic

Critical Access Hospitals · St Peter, MN
OwnershipGovernment - Local
CMS Certification Number241334
Location1900 North Sunrise DriveSt Peter, MN 56082 · Nicollet County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55379 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Referred Medical Equipment & Supplies CMS DME claims 2

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

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
2 suppliers16 claims16 services$80.86 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.

DR. DAVID CONRAD CARLSON M.D.
Orthopaedic Surgery
1515 SAINT FRANCIS AVE, SUITE 150
SHAKOPEE, MN 55379
Scott County (952) 403-3399
HEIDI JO WHIPPLE OHLMANN
Physical Therapist
1515 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Scott County (952) 403-2001
MS. MARYPAT PARKER M.A. CCC-SLP-L
Speech-Language Pathologist
1515 SAINT FRANCIS AVE, SUITE 140
SHAKOPEE, MN 55379
Scott County (952) 403-2019
JODI LYNN WINTERS PAC
Physician Assistant
1515 SAINT FRANCIS AVE, SUITE 100
SHAKOPEE, MN 55379
Scott County (952) 403-3535
MRS. TONYA MARIE SEAMAN DPT
Physical Therapist
1515 SAINT FRANCIS AVE, SUITE 140
SHAKOPEE, MN 55379
Scott County (952) 403-2001
MRS. JENNIFER RUTH LARSON PA-C
Physician Assistant
1515 SAINT FRANCIS AVE, SUITE 150
SHAKOPEE, MN 55379
Scott County (952) 403-3399
ORTHOPEDIC SURGICAL CONSULTANTS, P.A.
Orthopaedic Surgery
1515 SAINT FRANCIS AVE, SUITE 150
SHAKOPEE, MN 55379
Scott County (952) 403-3399
DR. JACLYN PALKERT STEVENS DO
Obstetrics & Gynecology
1515 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Scott County (952) 993-7750

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 Edwin Bogonko's NPI number?

The NPI number for Edwin Bogonko is 1447444666. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Where is Edwin Bogonko located?

Edwin Bogonko practices at 1515 Saint Francis Ave Suite # 100, Shakopee, MN 55379. The listed phone number is (952) 403-3535.

What is Edwin Bogonko's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Edwin Bogonko enrolled in Medicare?

Yes. Edwin Bogonko 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.

What insurance does Edwin Bogonko accept?

Health plans from Medica list Edwin Bogonko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Edwin Bogonko affiliated with any hospitals?

According to CMS data, Edwin Bogonko is affiliated with Abbott Northwestern Hospital, St Francis Regional Medical Center and River's Edge Hospital & Clinic.

When was this NPI record last updated?

The NPPES record for Edwin Bogonko was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.