Active NPI
Ronald B Boeding, MD
- Pain Medicine (Anesthesiology) Physician
- Maple Grove, MN
National Provider Identifier
1104093152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 55029
- Practice address
- 9645 Grove Cir N Ste 200
Maple Grove, MN 55369 - Phone
- (763) 201-8191
- Fax
- (763) 201-8192
- NPI assigned
- May 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 55029 | MN | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 55029 | MN | Primary |
Addresses
Primary practice location
9645 Grove Cir N Ste 200
Maple Grove, MN 55369
Mailing address
9645 Grove Cir N Ste 200
Maple Grove, MN 55369-4466
Phone (763) 201-8191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120821000411 | MN | Practitioner - Pain Management | 5890942270 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Interventional Spine and Pain Physicians PA
Practice addresses (Care Compare)
9645 Grove Cir N
Suite 200
Maple Grove, MN 55369-2684
Phone (763) 201-8191
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.16 of 100
- Quality
- 53.66
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 71.13
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Surgical Center, LLC | Pain Medicine | Current | Accepting new patients |
| Anesthesia Associates, PLLC | Past | Accepting new patients |
Locations
9600 Upland Ln N
Ste 160
Maple Grove, MN 55369
9645 Grove Cir N
Ste 250
Maple Grove, MN 55369
Interoperability endpoints
- ronald.boeding@isp.eclinicaldirectplus.com
- rboeding282201@fairview.direct-ci.com
Organizations & group practices 3
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.
-
- Ambulatory Surgical Clinic/Center
- Maple Grove, MN
- NPI 1144745951
MN, Pain Medicine
-
- Specialist
- Maple Grove, MN
- NPI 1104176205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1104093152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9645 GROVE CIR N STE 200",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694466",
"telephone_number": "763-201-8191",
"fax_number": "763-201-8192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9645 GROVE CIR N STE 200",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "55369",
"telephone_number": "763-201-8191",
"fax_number": "763-201-8192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEDING",
"first_name": "RONALD",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-09",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "55029",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MN",
"license": "55029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.