MICHAEL JOSEPH BOGUCKI PA
NPI 1922699024
Physician Assistant in Philadelphia, PA

Active since February 01, 2021PECOS EnrolledAccepts Medicare Assignment
1601 CHERRY ST, PHILADELPHIA, PA 19102(215) 895-2000 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Michael Joseph Bogucki Pa NPPES

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

MICHAEL JOSEPH BOGUCKI PA (NPI 1922699024) is an individual physician assistant in Philadelphia, Pennsylvania and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1922699024
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL JOSEPH BOGUCKICredential: PA
Location Address1601 CHERRY STPhiladelphia, PA 19102-1320
Mailing Address1601 Cherry StPhiladelphia, PA 19102-1320
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 1, 2021
NPPES CertifiedFebruary 1, 2021
NPI 1922699024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1601 CHERRY ST, Philadelphia, PA 19102

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

Michael Joseph Bogucki Pa 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 ID8729467105
PECOS Enrollment IDI20220615000082
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.

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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.

Pharmacist
1601 CHERRY ST, 3 PARKWAY -SUITE 1700
PHILADELPHIA, PA 19102
Physician Assistant
1601 CHERRY ST
PHILADELPHIA, PA 19102
Pharmacist
1601 CHERRY ST, SUITE 1700
PHILADELPHIA, PA 19102
Pharmacist
1601 CHERRY ST, SUITE 1700
PHILADELPHIA, PA 19102
Pharmacist
1601 CHERRY ST, SUITE 1700
PHILADELPHIA, PA 19102
Pharmacist
1601 CHERRY ST
PHILADELPHIA, PA 19102
Pharmacist
1601 CHERRY ST, SUITE 1700
PHILADELPHIA, PA 19102
Pharmacist
1601 CHERRY ST, SUITE 1700
PHILADELPHIA, PA 19102

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 Michael Bogucki's NPI number?

The NPI number for Michael Bogucki is 1922699024. It was assigned to this individual provider in the NPPES registry on February 1, 2021.

Where is Michael Bogucki located?

Michael Bogucki practices at 1601 Cherry St, Philadelphia, PA 19102. The listed phone number is (215) 895-2000.

What is Michael Bogucki's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Bogucki enrolled in Medicare?

Yes. Michael 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.

Is Michael Bogucki affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Michael Bogucki was last updated on February 1, 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.