MAKSIM BOGUSLAVSKIY DO
NPI 1821520107
Surgery - Surgical Critical Care in East Stroudsburg, PA
NPI Status: Active since March 28, 2017
Contact Information
500 PLAZA CT
EAST STROUDSBURG, PA
ZIP 18301
Phone: (570) 426-2301
- Individual
- Male
- Surgery
- Surgical Critical Care
- Accepts Insurance
- PECOS Enrolled
About MAKSIM BOGUSLAVSKIY
This page provides the complete NPI Profile along with additional information for Maksim Boguslavskiy, a provider established in East Stroudsburg, Pennsylvania with a medical specialization in Surgery, focusing in surgical critical care . The healthcare provider is registered in the NPI registry with number 1821520107 assigned on March 2017. The practitioner's primary taxonomy code is 2086S0102X with license number OS023953 (PA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1821520107
- Provider Name
- MAKSIM BOGUSLAVSKIY DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 500 PLAZA CT EAST STROUDSBURG, PA 18301
- Location Phone
- (570) 426-2301
- Mailing Address
- 2100 MACK BLVD FL 4 ALLENTOWN, PA 18103
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-28-2017
- Last Update Date
- 09-09-2024
- Code Navigator
Location Map
Secondary Locations
- 24 Hospital Ave
Danbury, CT 06810
(203) 739-6013 - 200 1st St SW
Rochester, MN 55905
(507) 284-2511
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Surgical Critical Care
- Taxonomy Code
- 2086S0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- OS023953
- License State
- PA
- Taxonomy Description
- A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | 73584 (MN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Maksim Boguslavskiy is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 2 | 1 | 5 | 2 | 0 | 1 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 4 | 1 | 10 | 2 | 0 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 4 + 1 + 1 + 0 + 2 + 0 + 1 + 0 + 24 = 43 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 43 = 7 | 7 | ||||||||
The NPI number 1821520107 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1861482119 | VINCENT FRANCESCANGELI JR. MD Individual | Internal Medicine | 500 PLAZA CT STE B EAST STROUDSBURG, PA 18301 (570) 421-8526 |
| 1487644662 | DR. WILLIAM T KESSELRING JR. MD Individual | Internal Medicine | 500 PLAZA CT STE B EAST STROUDSBURG, PA 18301 (570) 421-8526 |
| 1780643676 | GINAMARIE FOGLIA DO Individual | Internal Medicine (Infectious Disease) | 500 PLAZA CT SUITE D EAST STROUDSBURG, PA 18301 (570) 476-3778 |
| 1790707297 | POCONO MEDICAL CENTER Organization | Internal Medicine (Infectious Disease) | 500 PLAZA CT SUITE D E STROUDSBURG, PA 18301 (570) 476-3778 |
| 1912095779 | DRUPAD BHATT, MD. PC Organization | Specialist | 500 PLAZA CT SUITE C EAST STROUDSBURG, PA 18301 (570) 422-1400 |
| 1790013043 | DARELL COVINGTON, M.D., P.C. Organization | Specialist | 500 PLAZA CT SUITE C EAST STROUDSBURG, PA 18301 (570) 421-8968 |
| 1730528423 | LYNNE M GARRIS DIETICIAN Individual | Dietitian, Registered | 500 PLAZA CT STE D EAST STROUDSBURG, PA 18301 (570) 426-2330 |
| 1942649652 | DIANNE CHELAK DIETICIAN Individual | Dietitian, Registered | 500 PLAZA CT SUITE D EAST STROUDSBURG, PA 18301 (570) 426-2330 |
| 1780080416 | RAVIKUMARI GOLLAPALLI M.D Individual | Internal Medicine | 500 PLAZA CT EAST STROUDSBURG, PA 18301 (614) 441-6422 |
| 1134128622 | DARELL T. COVINGTON M.D. Individual | Colon & Rectal Surgery | 500 PLAZA CT SUITE C EAST STROUDSBURG, PA 18301 (570) 421-8968 |
| 1205826930 | POCONO INTERNAL MEDICINE Organization | Internal Medicine | 500 PLAZA CT SUITE B EAST STROUDSBURG, PA 18301 (570) 421-8526 |
| 1205854650 | POCONO MEDICAL CENTER Organization | Surgery | 500 PLAZA CT SUITE D E STROUDSBURG, PA 18301 (570) 426-2301 |
| 1003876939 | ANNGELL JONES MD Individual | Surgery | 500 PLAZA CT SUITE D EAST STROUDSBURG, PA 18301 (570) 426-2301 |
| 1730383779 | DR. KEVIN T.C. GEFFE D.O. Individual | Surgery | 500 PLAZA CT EAST STROUDSBURG, PA 18301 (570) 426-2301 |
| 1881178424 | AMBER N LONG MSN, AGACNP-BC, CRNP Individual | Nurse Practitioner (Gerontology) | 500 PLAZA CT EAST STROUDSBURG, PA 18301 (610) 402-6555 |
| 1013538362 | EDINSON ABEL NAJERA AGUILAR MD Individual | Neurological Surgery | 500 PLAZA CT EAST STROUDSBURG, PA 18301 (610) 402-6555 |
| 1689409419 | VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 500 PLAZA CT EAST STROUDSBURG, PA 18301 (570) 476-3585 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821520107, enumerated in the NPI registry as an "individual" on March 28, 2017
The provider is located at 500 Plaza Ct East Stroudsburg, Pa 18301 and the phone number is (570) 426-2301
The provider's speciality is Surgery with taxonomy code 2086S0102X with a focus in Surgical Critical Care
The provider might be accepting Accepts: Ambetter Health and Ambetter Health of Delaware. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on March 28, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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