NPIMap

Individual provider Active NPI

Patrick T Boylan, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Mentor, OH
National Provider Identifier
1386669810
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
35.072046 Issued in OH
Practice address
9485 Mentor Ave
Suite 214
Mentor, OH 44060-4597
Phone
(440) 205-9119
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 35.072046 OH Primary

Addresses

Primary practice location

9485 Mentor Ave
Suite 214
Mentor, OH 44060-4597

Mailing address

9485 Mentor Ave Ste 203
Mentor, OH 44060-8723
Phone (440) 205-9119

Other identifiers 1

IdentifierTypeStateIssuer
89135FJMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131218001420 OH Practitioner - Physical Medicine and Rehabilitation 2668373655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Northeastern Ohio University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9485 Mentor Ave
Suite 203
Mentor, OH 44060-8723
Phone (440) 205-9119

Hospital & facility affiliations

  • Lake Health Hospital, Concord, OH, CCN 360098
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Uhhs Memorial Hospital of Geneva Hospital, Geneva, OH, CCN 361307
  • Uh Regional Hospitals Hospital, Chardon, OH, CCN 360075

Merit-based Incentive Payment System (MIPS)

Final score
81.37 of 100Reported as individual
Quality
62.95
Promoting interoperability
100
Improvement activities
40
Cost
74.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.072046OHMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake County Pain & Diagnostic CurrentSince Aug 1, 2013 Accepting new patients
Washington Township Past Accepting new patients
Coastal Rehabilitation Associates Pain Medicine PastSince Jul 8, 1996 Accepting new patients
Carter Orthopaedics and Sports Medicine PLLC Past Accepting new patients

Locations

8401 Mentor Ave
Ste A
Mentor, OH 44060
Phone (440) 205-0080

9485 Mentor Ave
Ste 203
Mentor, OH 44060
Phone (440) 205-0242

Interoperability endpoints

  • Direct secure messaging: pboylan218451@ehrdirect.uhhospitals.org
  • FHIR API: https://api.platform.athenahealth.com/9715/brand/2/csg/1/fhir/r4
  • Direct secure messaging: patrick.boylan.2@9715.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1386669810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9485 MENTOR AVE STE 203",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440608723",
            "telephone_number": "440-205-9119",
            "fax_number": "440-205-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9485 MENTOR AVE",
            "address_2": "SUITE 214",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604597",
            "telephone_number": "440-205-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLAN",
        "first_name": "PATRICK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OH",
            "license": "35.072046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89135FJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.