DR. ILYA VICTOR BOGORAD M.D. NPI 1518116250

NPI Information

  • NPI: 1518116250
  • Provider Name: DR. ILYA VICTOR BOGORAD, M.D.
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 83 HERRICK ST
    SUITE 1001
    BEVERLY, MA
    ZIP 01915
  • Phone: (978) 922-2226

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NPI Details

DR. Ilya Victor Bogorad, M.D. is a neurology psychiatry neurology in Beverly, MA with 21 years of experience. The provider is 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. DR. Ilya Victor Bogorad, M.D. NPI is 1518116250. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

83 HERRICK ST
SUITE 1001
BEVERLY, MA
ZIP 01915-757
Phone: (978) 922-2226
Fax: (978) 922-2269

The NPI 1518116250 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Measurement of brain wave activity (eeg), awake and drowsy (HCPCS:95816)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Injection of anesthetic agent, trigeminal nerve bundle (HCPCS:64505)
  • Injection of anesthetic agent and/or steroid into other nerve or branch (HCPCS:64450)
  • Measurement of brain wave activity with video (veeg), 12-26 hours (HCPCS:95714)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face (HCPCS:64615)
  • Measurement of brain wave activity (eeg), continuous (HCPCS:95700)
  • Measurement of brain wave activity with video (veeg), 61-84 hours with review and report by health care professional (HCPCS:95724)
  • Measurement of brain wave activity with video (veeg), 37-60 hours with review and report by health care professional (HCPCS:95722)

The enumeration date for this NPI number is 9/18/2008 and was last updated on 9/22/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurology243242MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11518116250MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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