Michael K Boone, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

H4177 Issued in TX

Practice address

3100 N Lee Trevino Dr Ste B
El Paso, TX 79936-2116

Phone

(915) 533-7465

Fax

(915) 534-1185

NPI assigned

Jan 18, 2006

Last updated

Dec 28, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• BHS Specialty Network Inc

  dba Heart & Vascular Institute of Texas

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1831492651
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1154301117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N LEE TREVINO DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362116",
            "telephone_number": "915-533-7465",
            "fax_number": "915-534-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N LEE TREVINO DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362116",
            "telephone_number": "915-533-7465",
            "fax_number": "915-534-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "H4177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114946002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Bongiorno
• Joseph R. Bongiorno, P.A.
• Nicholas Bonilla, FNP
• Sylvia M Bonilla
• Promise Walker Bood, MD
• Patricia Eileen Boone, PHARMD
• Mustafa Boorenie, MD
• Border Health Solutions
• Border Home Care of El Paso
• Border Kidney Specialist, PA

• Physical Medicine & Rehabilitation Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.