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MARK BOGUSLAVSKY MD
NPI 1508796467
Internal Medicine in Philadelphia, PA

Active since May 21, 2026PECOS Enrolled
3509 N BROAD ST, PHILADELPHIA, PA 19140(800) 836-7536 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Boguslavsky Md NPPES

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

MARK BOGUSLAVSKY MD (NPI 1508796467) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT236439) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508796467
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARK BOGUSLAVSKYCredential: MD
Location Address3509 N BROAD STPhiladelphia, PA 19140-4105
Mailing Address502 N 19th StPhiladelphia, PA 19130-3802 · (267) 629-1097
Phone(800) 836-7536
Sole ProprietorNo
Enumeration DateMay 21, 2026
NPPES CertifiedMay 21, 2026
✔ NPI 1508796467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MT236439
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.
3509 N BROAD ST, Philadelphia, PA 19140
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Boguslavsky Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

KEWAL KRISHAN MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3509 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-8484
KURT KUNZ M.D.
Internal Medicine
3509 N BROAD ST, SUITE 226
PHILADELPHIA, PA 19140
Philadelphia County (267) 512-4313
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Psychiatry & Neurology (Neurology)
3509 N BROAD ST, FL 6 EAST TUCMC
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-6613
ROSHANI NARENDRAKUMAR PATEL PA-C
Physician Assistant
3509 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-8484
DR. CHRISTOPHER WILLIAM AHMED MD
Ophthalmology
3509 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (800) 836-7536
RICHARD TIM LACHMAN MD
Psychiatry & Neurology (Neurology)
3509 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3040
TEMPLE FACULTY PRACTICE PLAN, INC
Otolaryngology
3509 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3663
EROS M LEOTTA MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3509 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-8484

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 Mark Boguslavsky's NPI number?

The NPI number for Mark Boguslavsky is 1508796467. It was assigned to this individual provider in the NPPES registry on May 21, 2026.

Where is Mark Boguslavsky located?

Mark Boguslavsky practices at 3509 N Broad St, Philadelphia, PA 19140. The listed phone number is (800) 836-7536.

What is Mark Boguslavsky's specialty?

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

Is Mark Boguslavsky enrolled in Medicare?

Yes. Mark Boguslavsky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Boguslavsky was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.