Active NPI
Theresa Boyd, M.D.
- Pediatrics Physician
- Cleveland, OH
National Provider Identifier
1366443517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35062722
- Practice address
- 11201 Shaker Blvd Ste 338B
Cleveland, OH 44104-3869 - Phone
- (216) 368-7912
- Fax
- (216) 368-7912
- NPI assigned
- Aug 9, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35062722 | OH | Primary |
Addresses
Primary practice location
11201 Shaker Blvd Ste 338B
Cleveland, OH 44104-3869
Mailing address
23250 Chagrin Blvd
Ste 130
Beachwood, OH 44122-5416
Phone (216) 464-5160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0894644 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35062722 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theresa E Boyd MD | Pediatrics | Current | Accepting new patients |
Locations
11201 Shaker Blvd
Ste 338B
Cleveland, OH 44104
Phone (216) 368-7910
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1366443517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23250 CHAGRIN BLVD",
"address_2": "STE 130",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225416",
"telephone_number": "216-464-5160",
"fax_number": "216-464-5982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11201 SHAKER BLVD STE 338B",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441043869",
"telephone_number": "216-368-7912",
"fax_number": "216-368-7912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "THERESA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35062722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0894644",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.