Individual provider Active NPI

Payal Boss, MD

  • Critical Care Medicine (Anesthesiology) Physician
  • Grand Rapids, MI
National Provider Identifier
1245675024
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
4301500398 Issued in MI
Practice address
3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493
Phone
(616) 364-4200
NPI assigned
May 7, 2013
Last updated
Jul 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 35.134351 OH
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 4301500398 MI Primary

Addresses

Primary practice location

3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493

Mailing address

3259 Turnberry LN
Ann Arbor, MI 48108-2083
Phone (734) 417-6062

Other practice location 1

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190912002320 MI Practitioner - Anesthesiology 0941517114 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Michigan State University College of Human Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Medical Consultants, PCGroup PAC ID 3678751658, 87 clinicians

Practice addresses (Care Compare)

300 68TH St SE
Pine Rest
Grand Rapids, MI 49548-6927
Phone (616) 364-4200

4055 Cascade Rd SE
Metro Health Park East Outpatient Surgical
Grand Rapids, MI 49546-2149
Phone (616) 364-4200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Ionia Hospital CurrentSince Feb 1, 2026 Accepting new patients
Sparrow Eaton Hospital CurrentSince Feb 1, 2026 Accepting new patients
Sparrow Carson Hospital CurrentSince Feb 1, 2026 Accepting new patients
Anesthesia Medical Consultants, PC CurrentSince Sep 1, 2019 Accepting new patients
Sparrow Clinton Hospital CurrentSince Feb 1, 2026 Accepting new patients
West Michigan Anesthesia, PC CurrentSince Sep 1, 2019 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Nov 24, 2025 Accepting new patients
Sparrow Clinton Hospital CurrentSince Feb 1, 2026 Accepting new patients
Sparrow Clinton Hospital CurrentSince Feb 1, 2026 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Nov 24, 2025 Accepting new patients
AMC Mobile Anesthesia, PC CurrentSince Jul 1, 2025 Accepting new patients
Sparrow Carson Hospital CurrentSince Feb 1, 2026 Accepting new patients
Sparrow Eaton Hospital CurrentSince Feb 1, 2026 Accepting new patients
Sparrow Ionia Hospital CurrentSince Feb 1, 2026 Accepting new patients
Sparrow Ionia Hospital CurrentSince Feb 1, 2026 Accepting new patients
Sparrow Eaton Hospital CurrentSince Feb 1, 2026 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

1471 E Beltline Ave NE
Ste 101
Grand Rapids, MI 49525
Phone (616) 284-3180

3333 Evergreen Dr NE
Grand Rapids, MI 49525
Phone (616) 284-3132

4055 Cascade Rd SE
Grand Rapids, MI 49546
Phone (616) 252-4410

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355

80 68th St SE
Kentwood, MI 49548
Phone (616) 391-8220

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

Organizations & group practices 19

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 19

Hospital & facility affiliations 1

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": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1245675024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3259 TURNBERRY LN",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082083",
            "telephone_number": "734-417-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259493",
            "telephone_number": "616-364-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095000",
            "country_code": "US",
            "telephone_number": "734-936-4280",
            "fax_number": "734-936-9091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSS",
        "first_name": "PAYAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "OH",
            "license": "35.134351",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "MI",
            "license": "4301500398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.