SOPHIA BODNAR – Emergency Medicine Physician, NPI 1164876488

SOPHIA BODNAR is a healthcare provider. based in Chicago, Illinois. specializing in Emergency Medicine Physician. They hold a License No. 036.148891 (IL). The NPI Number for SOPHIA BODNAR is 1164876488

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SOPHIA BODNAR
NPI
1164876488
Phone
(312) 947-0229
Address
1653 W CONGRESS PKWY
Enumeration Date
22 April 2016
Last Update Date
23 September 2019

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
3129470229
Graduation Year
2016 (10 years ago)
PAC ID
5991091308
Group Practice PAC ID
0143296699
Professional Enrollment ID
I20190919001467
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

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Provider Addresses for SOPHIA BODNAR

  • Rush University Medical Center, 1653, West Congress Parkway, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States

    CHICAGO, IL 606123833

    Phone: (312) 947-0229

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190919001467IEmergency MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making8781$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only6355$0
99284Emergency department visit with moderate level of medical decision making4035$0
99291Critical care, first 30-74 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 60612)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143296699View full group profile

Reviews

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Frequently asked questions

How do payers reference SOPHIA BODNAR?
For SOPHIA BODNAR, use NPI 1164876488 as the unique 10-digit identifier.
Is SOPHIA BODNAR shown as active in public data?
Registry records indicate SOPHIA BODNAR maintains an active NPI.
What expertise is attributed to SOPHIA BODNAR?
SOPHIA BODNAR's specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is SOPHIA BODNAR associated with Chicago?
Public fields place SOPHIA BODNAR around Chicago, Illinois. Always confirm the exact site before visiting.
Can I trust this NPI listing for SOPHIA BODNAR?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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