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MAKSIM BOGUSLAVSKIY DO
NPI 1821520107
Surgery - Surgical Critical Care in East Stroudsburg, PA

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment
500 PLAZA CT, EAST STROUDSBURG, PA 18301(570) 426-2301 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 9, 2024, Apr 5, 2023, Jun 15, 2017 and 1 more (4 updates tracked since 2017).

About Maksim Boguslavskiy Do NPPES

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

MAKSIM BOGUSLAVSKIY DO (NPI 1821520107) is an individual surgical critical care provider in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (OS023953) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821520107
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameMAKSIM BOGUSLAVSKIYCredential: DO
Location Address500 PLAZA CTEast Stroudsburg, PA 18301-8262
Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622
Phone(570) 426-2301
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 28, 2017
Last NPPES UpdateSeptember 9, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1821520107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in PA · OS023953
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License 73584 (MN)
500 PLAZA CT, East Stroudsburg, PA 18301
Open in Google Maps ↗

Secondary Practice Locations 2

Location 124 Hospital AveDanbury, CT 06810-6099 · Phone (203) 739-6013
Location 2200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

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

Maksim Boguslavskiy 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 ID1355618927
PECOS Enrollment IDI20240916003944
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 17

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

EDINSON ABEL NAJERA AGUILAR MD
Neurological Surgery
500 PLAZA CT
EAST STROUDSBURG, PA 18301
Monroe County (610) 402-6555
LINDA JEAN STEWART DO
Surgery
500 PLAZA CT
EAST STROUDSBURG, PA 18301
Monroe County (570) 426-2301
POCONO INTERNAL MEDICINE
Internal Medicine
500 PLAZA CT, SUITE B
EAST STROUDSBURG, PA 18301
Monroe County (570) 421-8526
POCONO MEDICAL CENTER
Surgery
500 PLAZA CT, SUITE D
E STROUDSBURG, PA 18301
Monroe County (570) 426-2301
SIRUI MASTORIS MD
Surgery
500 PLAZA CT
EAST STROUDSBURG, PA 18301
Monroe County (570) 424-1424
MISS REBECCA E. NAVIN
Physician Assistant (Medical)
500 PLAZA CT
EAST STROUDSBURG, PA 18301
Monroe County (570) 426-2301
DR. WILLIAM T KESSELRING JR. MD
Internal Medicine
500 PLAZA CT, STE B
EAST STROUDSBURG, PA 18301
Monroe County (570) 421-8526
MIRANDA MAY PATCHES
Physician Assistant (Medical)
500 PLAZA CT
EAST STROUDSBURG, PA 18301
Monroe County (570) 426-2301

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 Maksim Boguslavskiy's NPI number?

The NPI number for Maksim Boguslavskiy is 1821520107. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Maksim Boguslavskiy located?

Maksim Boguslavskiy practices at 500 Plaza Ct, East Stroudsburg, PA 18301. The listed phone number is (570) 426-2301.

What is Maksim Boguslavskiy's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Maksim Boguslavskiy enrolled in Medicare?

Yes. Maksim Boguslavskiy 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 Maksim Boguslavskiy affiliated with any hospitals?

According to CMS data, Maksim Boguslavskiy is affiliated with Lehigh Valley Hospital and Lehigh Valley Hospital - Pocono.

When was this NPI record last updated?

The NPPES record for Maksim Boguslavskiy was last updated on September 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.