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DR. BORIS V BOGOMILOV MD NPI 1790749638


NPI Information

NPI: 1790749638
Provider Name: DR. BORIS V BOGOMILOV, MD
Classification: Internal Medicine - 207RC0001X
Entity Type: Individual

Specialization: Clinical Cardiac Electrophysiology

PECOS Registration: Yes

Address:
3211 N NORTHHILLS BLVD
SUITE 110
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 571-4338
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DR. Boris V Bogomilov, MD is a clinical cardiac electrophysiology internal medicine in Fayetteville, AR with 33 years of experience. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. DR. Boris V Bogomilov, MD NPI is 1790749638. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3211 N NORTHHILLS BLVD
SUITE 110
FAYETTEVILLE, AR
ZIP 72703-007
Phone: (479) 571-4338
Fax: (479) 571-4015

The NPI 1790749638 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.

  • Remote evaluations of defibrillator up to 90 days with analysis, review and report (HCPCS:93295)
  • Remote evaluations of single, dual, or multiple lead pacemaker system with qualified health care professional analysis, review, and report, up to 90 days (HCPCS:93294)
  • Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Evaluation, testing and programming adjustment of defibrillator with analysis, review and report (HCPCS:93284)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)

The enumeration date for this NPI number is 4/17/2006 and was last updated on 3/7/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyE4311ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E4311OTHERARKANSASSTATE LICENSE
2156638001MEDICAIDARKANSAS
35020011800OTHERARKANSASQUALCHOICE
4200005240AMEDICAIDOKLAHOMA
57934401OTHERARKANSASAETNA
6207453101MEDICAIDMISSOURI

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.