Ira Kaeo Boswell, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

Q3645 Issued in TX

Practice address

5706 E Mockingbird LN Ste 115-33
Dallas, TX 75206-5460

Phone

(817) 284-9850

NPI assigned

Jun 2, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

University of Texas Southwestern Medical School at Dallas, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ira Boswell DO PLLCGroup PAC ID 9830403088, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Acute Rehabilitation Hospital of Plano Inpatient rehabilitation facility, Plano, TX, CCN 673055

Merit-based Incentive Payment System (MIPS)

Final score

53.57 of 100Reported as individual

Quality

97.14

Improvement activities

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ira Boswell DO PLLC

  • Physical Medicine & Rehabilitation Physician
  • Plano, TX
  • NPI 1245619063

  Physical Medicine & Rehabilitation, TX

  Medicare reassignment Care Compare group NPD Authorized official

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

• Pirf Operations, LLC

  • Rehabilitation Hospital
  • Plano, TX
  • NPI 1427322163

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1346534757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678135",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678135",
            "telephone_number": "469-818-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5706 E MOCKINGBIRD LN STE 115-33",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065460",
            "telephone_number": "817-284-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "IRA",
        "middle_name": "KAEO",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "Q3645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ella Kate Boster
• Ron Bostic, PHARMACIST
• Boston Medical Group - Texas, P.a.
• Courtney Lyn Bostrom, MD
• Boswell Orthopaedic Clinic
• Jennifer Boswell, M.D.
• Roger W Boswell, MD
• Brian Patrick Bosworth, PA-C
• John D. Botefuhr, D.C.
• Valeria Nicole Botello

• All providers in Dallas, TX
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.