Individual provider Active NPI

John William Boyer, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Mobile, AL
National Provider Identifier
1023016888
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
00022702 Issued in AL
Practice address
1855 Springhill Ave
Mobile, AL 36607-2301
Phone
(251) 471-3544
Fax
(251) 476-7254
NPI assigned
Jul 14, 2005
Last updated
Dec 11, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 00022702 AL Primary

Addresses

Primary practice location

1855 Springhill Ave
Mobile, AL 36607-2301

Mailing address

1855 Springhill Ave
Mobile, AL 36607-2301
Phone (251) 471-3544

Other identifiers 2

IdentifierTypeStateIssuer
510-08971OtherALBLUE CROSS BLUE SHIELD
000008971MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20100407000470 AL Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 5698801249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Cardio-Thoracic and Vascular Surgical Associates LLCGroup PAC ID 4981936796, 23 clinicians

Practice addresses (Care Compare)

1855 Spring Hill Ave
Mobile, AL 36607-2301
Phone (251) 471-3544

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.5 of 100Reported as group
Promoting interoperability
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion13
Coronary artery bypass graft (CABG)35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00022702ALMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imc-Cardio-Thoracic and Vascular Surgical Associates LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Nov 1, 2019 Accepting new patients

Locations

188 Hospital Dr
Ste 202
Fairhope, AL 36532
Phone (251) 279-3794

1770 N Alston St
Foley, AL 36535
Phone (251) 471-3544

1855 Spring Hill Ave
Mobile, AL 36607
Phone (251) 471-3544

Interoperability endpoints

  • Direct secure messaging: jboyer14736@directinfirmaryhealth.org

Organizations & group practices 1

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1023016888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 SPRINGHILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072301",
            "telephone_number": "251-471-3544",
            "fax_number": "251-476-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 SPRINGHILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072301",
            "telephone_number": "251-471-3544",
            "fax_number": "251-476-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AL",
            "license": "00022702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "510-08971",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000008971",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.