NPIMap

Individual provider Active NPI

Ivan Yordanov Boyadzhiev, M.D.

  • Family Medicine Physician
  • Milford, NH
National Provider Identifier
1417105115
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15284 Issued in NH
Practice address
14 Armory Rd
Milford, NH 03055-3405
Phone
(603) 673-2515
NPI assigned
Sep 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15284 NH Primary

Addresses

Primary practice location

14 Armory Rd
Milford, NH 03055-3405

Mailing address

14 Armory Rd
Milford, NH 03055-3405
Phone (603) 673-2515

Other identifiers 1

IdentifierTypeStateIssuer
32000910MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111019000562 NH Practitioner - Family Practice 3577735463 Reassigns benefits to 4 organizations
I20240815000644 MA Practitioner - Family Practice 3577735463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Care of Boston Management CorporationGroup PAC ID 6800787714, 293 clinicians

Practice addresses (Care Compare)

93 Pond St
Sharon, MA 02067-2015
Phone (781) 784-9212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1020726MAMDClinical Social Worker
15284NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth-Hitchcock Clinic Family Medicine CurrentSince Aug 17, 2011 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jun 1, 2023 Accepting new patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jun 1, 2023 Accepting new patients
Medical Care of Boston Management Corporation CurrentSince Aug 1, 2024 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Aug 17, 2011 Accepting new patients
DH Family Medicine Nashua Inc Family Medicine Past Accepting new patients

Locations

386 Merrimack St
Ste 1C
Methuen, MA 01844
Phone (978) 688-1220

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

14 Armory Rd
Milford, NH 03055
Phone (603) 577-4440

2300 Southwood Dr
Nashua, NH 03063
Phone (603) 577-4170

29 Stiles Rd
Ste 301
Salem, NH 03079
Phone (603) 870-5452

Interoperability endpoints

  • Direct secure messaging: iboyadzhiev467037@direct.bilh.masshiway.net
  • Direct secure messaging: iboyadzhiev63918@direct.dartmouth-hitchcock.org

Organizations & group practices 7

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": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1417105115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ARMORY RD",
            "city": "MILFORD",
            "state": "NH",
            "postal_code": "030553405",
            "telephone_number": "603-673-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 ARMORY RD",
            "city": "MILFORD",
            "state": "NH",
            "postal_code": "030553405",
            "telephone_number": "603-673-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYADZHIEV",
        "first_name": "IVAN",
        "middle_name": "YORDANOV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-05",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "15284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32000910",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, NH

Sources for this page

Verify at the official NPI Registry.