Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Joseph Bogucki, PA

Individual provider Physician Assistant · NPI 1922699024

Michael Joseph Bogucki, PA is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Methodist Associates in Healthcare, Inc, a 391-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1601 Cherry St
Philadelphia, PA 19102-1320
Phone: (215) 895-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1922699024
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 1, 2021
Last updated in NPPESFebruary 1, 2021
Certification dateFebruary 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Methodist Associates In Healthcare, Inc — 391 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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