NPIMap

Individual provider Active NPI

Michael John Boyle, M.D.

  • Surgery Physician
  • Show Low, AZ
National Provider Identifier
1245294552
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
74130 Issued in AZ
Practice address
4951 S White Mountain Rd BLDG a
Show Low, AZ 85901-7827
Phone
(928) 537-6700
Fax
(928) 532-2138
NPI assigned
Apr 13, 2006
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 74130 AZ Primary

Addresses

Primary practice location

4951 S White Mountain Rd BLDG a
Show Low, AZ 85901-7827

Mailing address

PO Box 8005
Delray Beach, FL 33482-8005
Phone (954) 227-2030

Other identifiers 2

IdentifierTypeStateIssuer
001122900MedicaidFL
169449MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ, WV3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090709000288 FL Practitioner - General SurgeryPractitioner - Surgical Oncology 3577466549 Reassigns benefits to 1 organization
I20241009000885 AZ Practitioner - General Surgery 3577466549 Reassigns benefits to 2 organizations
I20250925001068 WV Practitioner - General Surgery 3577466549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stonewall Jackson Memorial Hospital CompanyGroup PAC ID 4284530551, 64 clinicians
Davis Memorial HospitalGroup PAC ID 3072418540, 77 clinicians

Practice addresses (Care Compare)

25 Garton PLZ
Weston, WV 26452-2128
Phone (304) 517-1115

812 Gorman Ave
Elkins, WV 26241-3181
Phone (304) 636-3366

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Surgical Specialties LLC Surgical Oncology CurrentSince Nov 1, 2012 Accepting new patients
Deaconess Memorial Medical Center Inc Family Medicine Current Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Mar 19, 2024 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince Aug 21, 2025 Accepting new patients
Davis Memorial Hospital CurrentSince Jul 16, 2025 Accepting new patients
Bullhead City Clinic Corp Family Medicine CurrentSince Jul 8, 2024 Accepting new patients
Davis Memorial Hospital CurrentSince Jul 16, 2025 Accepting new patients
Deaconess Memorial Medical Center Inc Surgery CurrentSince Mar 19, 2024 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince Aug 21, 2025 Accepting new patients
Bullhead City Clinic Corp Family Medicine CurrentSince Jul 8, 2024 Accepting new patients
Board of Regents of the University of Oklahoma Ou Physicians Tulsa Past Accepting new patients
Elite Surgical Specialties, LLC Surgery Past Accepting new patients
Physicians Group Services PA Family Medicine Past Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

2755 Silver Creek Rd
Ste 111
Bullhead City, AZ 86442
Phone (928) 704-6741

8075 Gate Pkwy W
Ste 304
Jacksonville, FL 32216
Phone (904) 296-0296

6260 W Atlantic Blvd
#2
Margate, FL 33063
Phone (954) 494-5530

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

25 Garton Plz
Weston, WV 26452
Phone (304) 269-6620

Networks

  • HealthSun Health Plans Network

Interoperability endpoints

  • Direct secure messaging: michael.boyle.p1@direct.davismedicalcenter.nextgenshare.com
  • Direct secure messaging: sflsurgpompanobeach@ppdxdirect.com

Organizations & group practices 15

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.

View all 15

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1245294552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8005",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334828005",
            "telephone_number": "954-227-2030",
            "fax_number": "945-227-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 S WHITE MOUNTAIN RD BLDG A",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017827",
            "telephone_number": "928-537-6700",
            "fax_number": "928-532-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "74130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001122900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169449",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

Verify at the official NPI Registry.