NPIMap

Individual provider Active NPI

Ioliene Boenau, MD

  • Emergency Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1013943158
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101223310 Issued in VA
Practice address
3914 W Stratford Rd
Virginia Beach, VA 23455-1664
Phone
(757) 460-5924
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101223310 VA Primary

Addresses

Primary practice location

3914 W Stratford Rd
Virginia Beach, VA 23455-1664

Mailing address

211 Church St
Saratoga Springs, NY 12866-1003
Phone (757) 460-5924

Other identifiers 1

IdentifierTypeStateIssuer
5832373MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080505000647 NY Practitioner - Emergency Medicine 5395648778 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga HospitalGroup PAC ID 6406740273, 353 clinicians

Practice addresses (Care Compare)

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8343

Hospital & facility affiliations

  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013

Merit-based Incentive Payment System (MIPS)

Final score
68.51 of 100Reported as group
Quality
56.19
Improvement activities
40
Cost
75.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital CurrentSince Nov 10, 2018 Accepting new patients
Healthcare Partners of Saratoga LTD CurrentSince Jun 1, 2018 Accepting new patients
Saratoga Regional Medical , P.C CurrentSince Jun 1, 2018 Accepting new patients
Saratoga Regional Medical , P.C CurrentSince Jun 1, 2018 Accepting new patients
Saratoga Hospital Current Accepting new patients
Riverside Physician Services, Inc. Emergency Medicine Past Accepting new patients
Emergency Physicians of Tidewater Emergency Medicine Past Accepting new patients

Locations

112 Charlton Rd
Charlton, NY 12019
Phone (518) 399-7723

2911 State Route 9
Ste 1
Malta, NY 12020
Phone (518) 363-8815

6 Medical Park Dr
Malta, NY 12020
Phone (518) 289-2020

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

959 Route 9
Queensbury, NY 12804
Phone (518) 223-0155

3040 Route 50
Saratoga Springs, NY 12866
Phone (518) 580-2170

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

Interoperability endpoints

  • Direct secure messaging: iboenau97207@albanymed.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1013943158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CHURCH ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661003",
            "telephone_number": "757-460-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 W STRATFORD RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234551664",
            "telephone_number": "757-460-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOENAU",
        "first_name": "IOLIENE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101223310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5832373",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.