NPIMap

Individual provider Active NPI

Evan Boyle

  • Internal Medicine Physician
  • Albany, NY
National Provider Identifier
1417482985
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
316638 Issued in NY
Practice address
25 Hackett Blvd # MC-69
Albany, NY 12208-3462
Phone
(518) 262-0091
NPI assigned
Apr 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 316638 NY Primary

Addresses

Primary practice location

25 Hackett Blvd # MC-69
Albany, NY 12208-3462

Mailing address

25 Hackett Blvd # MC-69
Albany, NY 12208-3462
Phone (518) 262-0091

Other practice location 1

1000 Asylum Ave
Suite 1004
Hartford, CT 06105
Phone (860) 714-8275

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address boylee@amc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220809002050 NY Practitioner - Internal Medicine 6002188133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Jul 1, 2022 Accepting new patients
Albany Medical College Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Albany Medical College Internal Medicine Current Accepting new patients
Albany Medical College CurrentSince Jul 1, 2022 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine Past Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

25 Hackett Blvd
#69
Albany, NY 12208
Phone (518) 262-0091

Interoperability endpoints

  • Direct secure messaging: eboyle22728@albanymed.direct-ci.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 8

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": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1417482985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HACKETT BLVD # MC-69",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083462",
            "telephone_number": "518-262-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HACKETT BLVD # MC-69",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083462",
            "telephone_number": "518-262-0091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Asylum Ave",
            "address_2": "Suite 1004",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "06105",
            "country_code": "US",
            "telephone_number": "860-714-8275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "EVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-21",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "316638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "boylee@amc.edu",
            "affiliation": "N",
            "address_1": "25 Hackett Blvd # Mc-69",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122083462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.