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ALFRED R. BOGUCKI M.D.
NPI 1740219955
Surgery - Trauma Surgery in Philadelphia, PA

Active since July 01, 2006PECOS EnrolledAccepts Medicare Assignment
3998 RED LION RD, SUITE 211, PHILADELPHIA, PA 19114(215) 824-4559(215) 612-9220 Get Directions Write a Review

NPPES record last updated: September 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alfred R. Bogucki M.d. NPPES

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

ALFRED R. BOGUCKI M.D. (NPI 1740219955) is an individual trauma surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD042361E) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of Medical College Of Pennsylvania (1987).

NPPES Registry Identity

NPI1740219955
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameALFRED R. BOGUCKICredential: M.D.
Location Address3998 RED LION RD, SUITE 211Philadelphia, PA 19114-1445
Mailing AddressP. O. Box 8500 - 6335Philadelphia, PA 19178-6335 · (215) 807-8000 · Fax (215) 612-9220
Phone(215) 824-4559
Fax(215) 612-9220
Sole ProprietorNo
Medical School CMSMedical College Of PennsylvaniaGraduated 1987
Enumeration DateJuly 1, 2006
Last NPPES UpdateSeptember 29, 2011
✔ NPI 1740219955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License✔ Licensed in PA · MD042361E
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
3998 RED LION RD, Philadelphia, PA 19114
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Other Identifiers 15

Other746506PA · Personal Choic E
Other1105258PA · Cigna
Other30017961PA · Keystone Mercy
Medicaid0014120170011PA
Other065584000PA · Keystone Ibc
Other34799PA · Health Partners
Other3658357PA · Aetna Hmo
Other1555030PA · United Healthcare
Medicare UPINF61247PA
Medicare PIN746506RLTPA
Other01412017-02PA · Americhoice
OtherPA0025546PA · Tricare
Other20045179PA · Amerihealth
Other746506PA · Highmark Blue Shield
Other020030561PA · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Alfred R. Bogucki M.d. 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 ID7719891019
PECOS Enrollment IDI20031119000236
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 5

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
37 services37 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.
37 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services26 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
14 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

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.

AARON OPHER SHILOH M.D.
Radiology (Vascular & Interventional Radiology)
3998 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (952) 595-1100
DEBORAH SCHILLER SCHRAGER MD
Obstetrics & Gynecology
3998 RED LION RD, SUITE 106
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4143
MELISSA A. MALLOY CRNA
Nurse Anesthetist, Certified Registered
3998 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4088
DR. MIMI H PINTO DO
Radiology (Diagnostic Radiology)
3998 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4021
JOHN P. SORRENTINO M.D.
Emergency Medicine
3998 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4963
JUDITH KUNKLE CRNP
Registered Nurse (Emergency)
3998 RED LION RD, EMERGENCY ROOM
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
JOAQUIN SARIEGO MD
Surgery
3998 RED LION RD, SUITE 301
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4884
FRANKFORD TORRESDALE HOSPITAL
General Acute Care Hospital
3998 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000

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 Alfred Bogucki's NPI number?

The NPI number for Alfred Bogucki is 1740219955. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Alfred Bogucki located?

Alfred Bogucki practices at 3998 Red Lion Rd Suite 211, Philadelphia, PA 19114. The listed phone number is (215) 824-4559.

What is Alfred Bogucki's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Alfred Bogucki enrolled in Medicare?

Yes. Alfred Bogucki 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 Alfred Bogucki accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Alfred Bogucki 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 Alfred Bogucki affiliated with any hospitals?

According to CMS data, Alfred Bogucki is affiliated with Jefferson Health- Northeast.

When was this NPI record last updated?

The NPPES record for Alfred Bogucki was last updated on September 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.