Soujanya Bogarapu

MD | Pediatric Cardiology | Female

---

Complete Profile:

Soujanya Bogarapu basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Cardiology
Provider Name :	Soujanya Bogarapu
Credential :	MD
Gender :	Female

Business Address:

Soujanya Bogarapu address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	444 Roxbury Rd Rockford, IL, 61107-5059 United States
Phone Number :	815-227-5600
Fax Number :	815-227-9242

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1992970271
NPI Entity Type :	Individual
First Enrolment Date :	28 Apr, 2008
Last Updated On :	21 Sep, 2022

Medicare Participation:

Soujanya Bogarapu participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0648402107
Medicare Enrollment ID :	I20160802002035
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Other
Graduation Year :	1999
Accepts Medicare?	Yes. Soujanya Bogarapu accepts medicare insurance.

Group Practice Association:

Soujanya Bogarapu is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Soujanya Bogarapu is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
The Board Of Trustees Of The University Of Illinois	3072422716	891	1 Illini Dr Peoria, IL - 616052576 Ph: 3096718484	Yes
Osf Multi-specialty Group	3678889789	1468	444 Roxbury Rd Rockford, IL - 611075059 Ph: 8153983000	Yes
Osf Multi-specialty Group	3678889789	1468	8600 State Route 91 Suite 130 Peoria, IL - 616157829 Ph: 3096835050	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Soujanya Bogarapu are as mentioned. Primary taxonomy code for Soujanya Bogarapu, MD is 2080P0202X (Pediatrics, Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics, Pediatric Cardiology	Yes	036-126537	IL

Other Practice Locations:

Practice Address	City, State	Phone Number
1000 HEALTH CENTER DR, MATTOON, IL, 61938-4644 United States	MATTOON, IL	217-238-4960

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	444 Roxbury Rd Rockford, IL, 61107-5059 United States
Phone Number :	815-227-5600
Fax Number :	815-227-9242

Business Location:

Patients can refer following map for directions to Soujanya Bogarapu practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.