Active NPI
Zackary Elias Boomsaad, M.D.
- Pain Medicine (Anesthesiology) Physician
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- ME133521
- Practice address
- 10050 SW Innovation Way Ste 102
Port St Lucie, FL 34987-2117 - Phone
- (772) 288-5862
- Fax
- (772) 288-5874
- NPI assigned
- Jul 23, 2008
- Last updated
- Mar 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME133521 | FL | Primary |
| Pain Medicine Physician | 208VP0000X | ME133521 | FL | |
| Interventional Pain Medicine Physician | 208VP0014X | DR.0066118 | CO |
Addresses
Primary practice location
10050 SW Innovation Way Ste 102
Port St Lucie, FL 34987-2117
Mailing address
200 SE Hospital Ave # 2346
Stuart, FL 34994-2346
Other practice location 1
7251 W 20th St Unit K
Greeley, CO 80634-4626
Phone (602) 795-8700
Other practice location 2
5730 Glenridge Dr NE
Suite 100
Sandy Springs, GA 30328
Phone (734) 546-4310
Other practice location 3
509 SE Riverside Dr Ste 203
Stuart, FL 34994-2579
Phone (772) 288-5862
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | zboomsaad52798@direct.martinhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2150 SE Salerno Rd
Suite 200
Stuart, FL 34997-6572
Phone (772) 228-5862
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.68 of 100
- Quality
- 60.2
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.2
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treasure Coast Anesthesia Group PA | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Access Telecare, PLLC | Past | Accepting new patients | |
| Coastal Care Corporation | Past | Accepting new patients |
Locations
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
200 SE Hospital Ave
#2346
Stuart, FL 34994
Phone (561) 319-2667
2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300
1000 36th St
Ste 5105
Vero Beach, FL 32960
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
3725 11th Cir
Vero Beach, FL 32960
Phone (772) 410-0155
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- zboomsaad2500930@direct.ccf.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- Anesthesiology Physician
- Stuart, FL
- NPI 1013350875
-
- Internal Medicine Physician
- Vero Beach, FL
- NPI 1124074455
-
dba Behavioral Health Center
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
dba cleveland clinic foundation
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
dba Cleveland Clinic Imaging
- Radiology Clinic/Center
- Port St Lucie, FL
- NPI 1558320556
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cleveland Clinic Indian River Hospital
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1235394891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SE HOSPITAL AVE # 2346",
"city": "STUART",
"state": "FL",
"postal_code": "349942346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10050 SW INNOVATION WAY STE 102",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349872117",
"telephone_number": "772-288-5862",
"fax_number": "772-288-5874"
}
],
"practiceLocations": [
{
"address_1": "7251 W 20th St Unit K",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806344626",
"country_code": "US",
"telephone_number": "602-795-8700",
"fax_number": "602-795-8701",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5730 Glenridge Dr NE",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Sandy Springs",
"state": "GA",
"postal_code": "30328",
"country_code": "US",
"telephone_number": "734-546-4310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "509 SE Riverside Dr Ste 203",
"address_purpose": "LOCATION",
"city": "Stuart",
"state": "FL",
"postal_code": "349942579",
"country_code": "US",
"telephone_number": "772-288-5862",
"fax_number": "772-288-5874",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOOMSAAD",
"first_name": "ZACKARY",
"middle_name": "ELIAS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-23",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME133521",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "FL",
"license": "ME133521",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CO",
"license": "DR.0066118",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "zboomsaad52798@direct.martinhealth.org",
"affiliation": "N",
"address_1": "10050 SW Innovation Way Ste 102",
"city": "Port St Lucie",
"state": "FL",
"country_code": "US",
"postal_code": "349872117",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.