Individual provider Active NPI

Steven Allen Boskovich, MD

  • Ophthalmology Physician
  • Flint, MI
National Provider Identifier
1043289150
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
SB053937 Issued in MI
Practice address
1290 S Linden Rd
Flint, MI 48532-3407
Phone
(810) 732-6231
Fax
(810) 732-0725
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X SB053937 MI
Ophthalmology Physician 207W00000X SB053937 MI Primary

Addresses

Primary practice location

1290 S Linden Rd
Flint, MI 48532-3407

Mailing address

1290 S Linden Rd
Flint, MI 48532-3407
Phone (810) 732-6231

Other identifiers 6

IdentifierTypeStateIssuer
0N9614001OtherMIMEDICARE PTAN INDIVIDUAL
2942116MedicaidMI
1802518111OtherHEALTH PLUS
C2759OtherM-CARE
1802518111OtherBCBS
1802518111OtherBLUE CARE NETWORK

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sboskovich@mrvi.intellechartdirect.net Direct
CONNECT URL sboskovich@mrvi.intellechartdirect.net Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040901000192 MI Practitioner - Ophthalmology 5496720757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1290 S Linden Rd
Flint, MI 48532-3407
Phone (810) 732-6231

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SB053937MIMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steven a Boskovich MD PC Ophthalmology CurrentSince Jun 16, 1993 Accepting new patients

Locations

1290 S Linden Rd
Flint, MI 48532
Phone (810) 732-6231

Interoperability endpoints

  • Direct secure messaging: sboskovich@mrvi.intellechartdirect.net
  • Direct secure messaging: sboskovich1118248@direct.hfhs.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1043289150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323407",
            "telephone_number": "810-732-6231",
            "fax_number": "810-732-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323407",
            "telephone_number": "810-732-6231",
            "fax_number": "810-732-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSKOVICH",
        "first_name": "STEVEN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MI",
            "license": "SB053937",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "SB053937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN INDIVIDUAL",
            "identifier": "0N9614001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2942116",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "1802518111",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "C2759",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1802518111",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "1802518111",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sboskovich@mrvi.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct secure messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1290 S Linden Rd",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485323407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sboskovich@mrvi.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct secure messaging",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1290 S Linden Rd",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485323407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.