Individual provider Active NPI

Richard B Boone, DO

  • Family Medicine Physician
  • Vienna, WV
National Provider Identifier
1023080215
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1835 Issued in WV
Practice address
800 Grand Central Mall Ste 11
Vienna, WV 26105-4100
Phone
(304) 916-1270
Fax
(304) 916-1705
NPI assigned
Feb 2, 2006
Last updated
Dec 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1835 WV Primary

Addresses

Primary practice location

800 Grand Central Mall Ste 11
Vienna, WV 26105-4100

Mailing address

800 Grand Central Mall Ste 11
Vienna, WV 26105-4100
Phone (304) 916-1270

Other identifiers 1

IdentifierTypeStateIssuer
1807389000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170427001231 FL Practitioner - Family Practice 0345285755 Reassigns benefits to 2 organizations
I20240403001575 AL Practitioner - Family Practice 0345285755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1330 Hwy 231 S
Troy, AL 36081-3058
Phone (334) 670-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1835WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Troy Regional Physicians Inc CurrentSince Aug 16, 2024 Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Feb 12, 2017 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince May 18, 2018 Accepting new patients
Troy Hospital Health Care Authority Family Medicine CurrentSince Aug 19, 2024 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince May 18, 2018 Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Feb 12, 2017 Accepting new patients
Dwic of Tampa Bay, Inc. Current Accepting new patients
Midtowne Family Practice PLLC Family Medicine Past Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients
Troy Hospital Health Care Authority Past Accepting new patients

Locations

1320 Highway 231 S
Ste 1
Troy, AL 36081
Phone (334) 566-0546

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

12375 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 936-2013

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

Networks

  • MS PPO
  • MS PPO C-SNP
  • MS PPO D-SNP
  • FL PPO

Interoperability endpoints

  • Direct secure messaging: richard.boone.2@3503.direct.athenahealth.com

Organizations & group practices 10

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1023080215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GRAND CENTRAL MALL STE 11",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261054100",
            "telephone_number": "304-916-1270",
            "fax_number": "304-916-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRAND CENTRAL MALL STE 11",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261054100",
            "telephone_number": "304-916-1270",
            "fax_number": "304-916-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "RICHARD",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1807389000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, WV

Sources for this page

Verify at the official NPI Registry.