Individual provider Active NPI

Zackary Elias Boomsaad, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Port St Lucie, FL
National Provider Identifier
1235394891
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME133521 Issued in FL
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171221000141 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 3577887371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
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 100Reported as group
Quality
60.2
Promoting interoperability
99
Improvement activities
40
Cost
75.2

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
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

OrganizationSpecialtyStatusNew patients
Treasure Coast Anesthesia Group PA CurrentSince Dec 1, 2024 Accepting new patients
Indian River Health Services Inc CurrentSince Jan 11, 2025 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Indian River Health Services Inc CurrentSince Jan 11, 2025 Accepting new patients
Access Telecare, PLLC PastSince Mar 5, 2023 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.