Ronald B Boersma, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

104448 Issued in NY

Practice address

310 Sterling Drive
Orchard Park, NY 14127-1718

Phone

(716) 677-6800

Fax

(716) 712-0159

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mercy Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1164464921
  Medicare reassignment NPD
• Cardiology Group of Western New York PC

  • Cardiovascular Disease Physician
  • Williamsville, NY
  • NPI 1194771477
  NPD
• Trinity Medical Wny PC

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1295043149

  Cardiovascular Disease

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1003850876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 STERLING DRIVE",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271718",
            "telephone_number": "716-677-6800",
            "fax_number": "716-712-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 STERLING DRIVE",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271718",
            "telephone_number": "716-677-6800",
            "fax_number": "716-712-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERSMA",
        "first_name": "RONALD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "104448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00589886",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHS RAILROAD MEDICARE",
            "identifier": "P00275983",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis A Blair, DDS
• Krista Blakowski
• Stephanie Marie Bobeck, PT
• Zachary Bodack
• Tara Bodziak, AU.D
• Bernadette Marie Boland, MS.ED
• Siobhan Boland, NP
• Renee Bolis, LCSW
• Colleen Bondanza, PT
• Anna Boneberg, NP

• Cardiovascular Disease Physician in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.