Madeline Boji

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601010753 Issued in MI

Practice address

5334 Trillium CT
Orchard Lake, MI 48323-1577

Phone

(248) 921-1871

NPI assigned

Sep 24, 2021

Last updated

Sep 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

76.04 of 100Reported as group

Quality

67.93

Promoting interoperability

100

Improvement activities

40

Cost

52.21

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wellstreet Urgent Care of Michigan

  • Non-Pharmacy Dispensing Site
  • Troy, MI
  • NPI 1649952052
  NPD (past)

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1023789443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5334 TRILLIUM CT",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483231577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5334 TRILLIUM CT",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483231577",
            "telephone_number": "248-921-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOJI",
        "first_name": "MADELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Azar, PHARMD
• Elsi Maria Baccari, D.O.
• David Richard Backus, DDS
• Mary Ellen Bardyga, OT
• David Alan Bloom, DDS, MS
• Bortz Greenlake Resthaven, Inc (bortz on green lake)
• Monisha Manish Chadda, DDS
• David R Backus DDS
• Diamond Transportation Service, LLC
• Diamonds Transportation Services LLC

• Physician Assistant in Orchard Lake, MI
• Providers in Orchard Lake, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.