Individual provider Active NPI

Angel N. Boev, MD

  • Neurological Surgery Physician
  • Rochester, NY
National Provider Identifier
1083625008
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
246029 Issued in NY
Practice address
1445 Portland Ave Ste 309
Rochester, NY 14621-3008
Phone
(585) 342-2638
Fax
(585) 730-7500
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 246029 NY Primary

Addresses

Primary practice location

1445 Portland Ave Ste 309
Rochester, NY 14621-3008

Mailing address

1445 Portland Avenue,
Parnall Office Building, Suite 309
Rochester, NY 14621
Phone (585) 342-2638

Other practice location 1

1445 Portland Avenue,
Parnall Office Building, Suite 304
Rochester, NY 14621
Phone (585) 342-7170

Other identifiers 1

IdentifierTypeStateIssuer
03461781MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120621000055 NY Practitioner - Neurosurgery 7113189176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Mercer University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

1445 Portland Ave
Rochester, NY 14621-3008

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion334
Laminectomy or laminotomy (partial removal of spine bones)180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246029NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boev Medical, PLLC Neurological Surgery CurrentSince Aug 1, 2016 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Jul 1, 2025 Accepting new patients
Boev Medical, PLLC Neurological Surgery CurrentSince Jan 1, 2016 Accepting new patients
Rochester General Hospital Neurological Surgery Past Accepting new patients

Locations

360 Parrish St
Canandaigua, NY 14424
Phone (585) 393-7040

183 Parrish St
Ste 220
Canandaigua, NY 14424
Phone (585) 342-2638

10 Hagen Dr
Ste 110
Rochester, NY 14625
Phone (585) 267-7855

1445 Portland Ave
Ste 309
Rochester, NY 14621
Phone (585) 342-2638

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1445 Portland Ave
Ste 304
Rochester, NY 14621
Phone (585) 342-7170

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDDFBD/Endpoint/HDDFBD

Organizations & group practices 4

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 1

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1083625008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 PORTLAND AVENUE,",
            "address_2": "PARNALL OFFICE BUILDING, SUITE 309",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14621",
            "telephone_number": "585-342-2638",
            "fax_number": "585-730-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 PORTLAND AVE STE 309",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213008",
            "telephone_number": "585-342-2638",
            "fax_number": "585-730-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 Portland Avenue,",
            "address_2": "Parnall Office Building, Suite 304",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14621",
            "country_code": "US",
            "telephone_number": "585-342-7170",
            "fax_number": "585-342-5855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOEV",
        "first_name": "ANGEL",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "246029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03461781",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.