Douglas Joseph Boven II, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

4301101231 Issued in MI

Practice address

3535 W 13 Mile Rd Ste 437
Royal Oak, MI 48073-6770

Phone

(248) 288-2210

Fax

(248) 589-9875

NPI assigned

Jul 9, 2012

Last updated

Jul 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Physical Medicine and Rehabilitation

Education

Toledo Medical College, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

LMT Rehabilitation Associates PCGroup PAC ID 0446265268, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
• Beaumont - Royal Oak Inpatient rehabilitation facility, Royal Oak, MI, CCN 23T130

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dboven56482@direct.beaumont.edu

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.

• LMT Rehabilitation Associates,PC

  • Physical Medicine & Rehabilitation Physician
  • Royal Oak, MI
  • NPI 1154372746
  Medicare reassignment Care Compare group NPD
• Beaumont Medical Group- Specialty Services

  • Surgery Physician
  • Royal Oak, MI
  • NPI 1578072906
  Medicare reassignment NPD
• Oakwood Ambulatory LLC

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1003829441

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD
• LMT Rehabilitation Associates,PC

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Macomb, MI
  • NPI 1265652994
  NPD
• Oakwood Ambulatory, LLC

  • Podiatrist
  • Westland, MI
  • NPI 1013157361
  NPD
• LMT Rehabilitation Associates

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Rochester Hills, MI
  • NPI 1093933806
  NPD (past)
• Oakwood Healthcare Inc

  dba Corewell Health Retail Pharmacy Westland

  • Community/Retail Pharmacy
  • Westland, MI
  • NPI 1033128178
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• William Beaumont Hospital

  dba Beaumont Hospital, Royal Oak

  • Rehabilitation Hospital Unit
  • Royal Oak, MI
  • NPI 1215916812

  Inpatient rehabilitation facility

  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Troy

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Royal Oak

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Grosse Pointe

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1255696092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30701 BARRINGTON ST STE 150",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480715135",
            "telephone_number": "248-616-1170",
            "fax_number": "248-589-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD STE 437",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-288-2210",
            "fax_number": "248-589-9875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17000 Hubbard Dr Ste 800",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481264205",
            "country_code": "US",
            "telephone_number": "313-240-7595",
            "fax_number": "313-240-7599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOVEN",
        "first_name": "DOUGLAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301101231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DBOVEN56482@DIRECT.BEAUMONT.EDU",
            "affiliation": "N",
            "address_1": "17000 Hubbard Dr Ste 800",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481264205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Bouharb, LPC
• Dianna R Boulanger
• Robert John Bourbonnais, CRNA
• Chloe Elise Bova, PA-C
• Claire Bova, MD
• Eva Bowden, CRNA
• William Bower, MS
• Jordan Kendall Bowers
• Matthew Lawrence Bowers, AGACNP-BC
• Darren Boyd, DPT

• Physical Medicine & Rehabilitation Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.

Verify at the official NPI Registry.