Individual provider Active NPI

Steven M Boker, MD

  • Diagnostic Radiology Physician
  • Marietta, OH
National Provider Identifier
1154377216
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35070823 Issued in OH
Practice address
401 Matthew St
Marietta, OH 45750-1635
Phone
(740) 374-1453
Fax
(740) 374-1691
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35070823 OH Primary

Addresses

Primary practice location

401 Matthew St
Marietta, OH 45750-1635

Mailing address

100 E Campus View Blvd
Ste 160
Columbus, OH 43235-4647
Phone (614) 396-4750

Other identifiers 3

IdentifierTypeStateIssuer
0312398MedicaidOH
0121495000MedicaidWV
300063738OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101112001019 OH Practitioner - Diagnostic Radiology 9436344603 Reassigns benefits to 1 organization
I20220406001451 WV Practitioner - Diagnostic Radiology 9436344603

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians

Practice addresses (Care Compare)

1069 Delaware Ave
Marion, OH 43302-6459

1087 Dennison Ave
Columbus, OH 43201-3201
Phone (614) 458-9000

1106 Colegate Dr
Marietta, OH 45750-1323
Phone (740) 568-2000

269 Portland Way S
Galion, OH 44833-2312
Phone (419) 468-4841

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-5000

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1400

55 Hospital Dr
Athens, OH 45701-2302
Phone (740) 593-5551

915 W Michigan St
Sidney, OH 45365-2491
Phone (937) 498-2311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince May 3, 2011 Accepting new patients
Marietta Imaging Inc Diagnostic Radiology PastSince Sep 15, 2010 Accepting new patients

Locations

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

4400 N High St
Columbus, OH 43214
Phone (614) 261-3710

100 E Campus View Blvd
Ste 160
Columbus, OH 43235
Phone (614) 396-4750

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

Interoperability endpoints

  • Direct secure messaging: steven.boker@mmhs.medicity.net

Organizations & group practices 2

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 6

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1154377216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CAMPUS VIEW BLVD",
            "address_2": "STE 160",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354647",
            "telephone_number": "614-396-4750",
            "fax_number": "614-396-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MATTHEW ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501635",
            "telephone_number": "740-374-1453",
            "fax_number": "740-374-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKER",
        "first_name": "STEVEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35070823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0312398",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121495000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "300063738",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.