Individual provider Active NPI

Nicholas Boyko, DO

  • Emergency Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1225529233
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
87811 Issued in GA
Practice address
4300 Alton Rd
Miami Beach, FL 33140-2948
Phone
(973) 883-5801
NPI assigned
May 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 87811 GA Primary

Addresses

Primary practice location

4300 Alton Rd
Miami Beach, FL 33140-2948

Mailing address

3020 NW 125TH Ave Unit 10220
Sunrise, FL 33323-6317
Phone (973) 883-5801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20210408002164 GA Practitioner - Emergency MedicinePractitioner - Hospitalist 9931517034 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Hospitalist
Education
Rowan University School of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gwinnett Emergency Specialists, LLCGroup PAC ID 0840373619, 50 clinicians
The Bortolazzo Group, LLCGroup PAC ID 3476554320, 98 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (954) 939-5000

677 Church Nest
Marietta, GA 30060-1101
Phone (770) 793-5000

Hospital & facility affiliations

  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Emergency Specialists Observation Services, LLC Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Georgia Hospitalists Group, LLC Current Accepting new patients
Murray Emergency Physicians, LLC Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Etowah Emergency Physicians, LLC Emergency Medicine CurrentSince Mar 15, 2021 Accepting new patients
Gwinnett Emergency Specialists, LLC Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Georgia Hospitalists Group, LLC CurrentSince Mar 15, 2021 Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients

Locations

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050

3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 7

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 2

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": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1225529233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 NW 125TH AVE UNIT 10220",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333236317",
            "telephone_number": "973-883-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "973-883-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKO",
        "first_name": "NICHOLAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-24",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "87811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.