Active NPI
Michael Boyiadzis, MD
- Specialist
- Pittsburgh, PA
National Provider Identifier
1255303343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD425571
- Practice address
- 200 Meyran Ave
Suite 318
Pittsburgh, PA 15213-3305 - Phone
- (412) 586-9874
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD425571 | PA | Primary |
Addresses
Primary practice location
200 Meyran Ave
Suite 318
Pittsburgh, PA 15213-3305
Mailing address
200 Meyran Ave
Suite 318
Pittsburgh, PA 15213-3305
Phone (412) 586-9874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101417482 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1255303343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MEYRAN AVE",
"address_2": "SUITE 318",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133305",
"telephone_number": "412-586-9874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEYRAN AVE",
"address_2": "SUITE 318",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133305",
"telephone_number": "412-586-9874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYIADZIS",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD425571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101417482",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.