Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARIO BOVINO MD
NPI 1861064131
Psychiatry & Neurology - Neurology in Gary, IN

Q: What is Mario Bovino's NPI number?

The NPI number for Mario Bovino is 1861064131. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Q: What is Mario Bovino's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Mario Bovino was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.

Active since July 15, 2021PECOS Enrolled

650 RICHARD GORDON HATCHER BLVD, GARY, IN 46404(219) 738-4926(219) 738-4931 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2026, May 14, 2022, Jul 15, 2021 (3 updates tracked since 2021).

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About Mario Bovino Md NPPES

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

MARIO BOVINO MD (NPI 1861064131) is an individual neurology provider in Gary, Indiana, licensed in Illinois (125.078044) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861064131

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameMARIO BOVINOCredential: MD

Location Address650 RICHARD GORDON HATCHER BLVDGary, IN 46404-1533

Mailing Address650 Richard Gordon Hatcher BlvdGary, IN 46404-1533

Phone(219) 738-4926

Fax(219) 738-4931

Sole ProprietorNo

Enumeration DateJuly 15, 2021

Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1861064131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in IL · 125.078044

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedInternal MedicineTaxonomy 207R00000X · License 125.078044 (IL)

650 RICHARD GORDON HATCHER BLVD, Gary, IN 46404

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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)

Mario Bovino 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 46404 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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

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

AALIYAH CHLOE HARMON APRN (FNP-C)

Nurse Practitioner (Family)

650 RICHARD GORDON HATCHER BLVD
GARY, IN 46404

Lake County (219) 427-0112

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 Mario Bovino's NPI number?

The NPI number for Mario Bovino is 1861064131. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Where is Mario Bovino located?

Mario Bovino practices at 650 Richard Gordon Hatcher Blvd, Gary, IN 46404. The listed phone number is (219) 738-4926.

What is Mario Bovino's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Mario Bovino enrolled in Medicare?

Yes. Mario Bovino is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mario Bovino was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.