Individual provider Active NPI

Mikayla Byrne, DO

  • Emergency Medicine Physician
  • Boardman, OH
National Provider Identifier
1417536319
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.016059 Issued in OH
Practice address
8401 Market St
Boardman, OH 44512-6725
Phone
(330) 729-7960
NPI assigned
Apr 7, 2021
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.016059 OH Primary

Addresses

Primary practice location

8401 Market St
Boardman, OH 44512-6725

Mailing address

7158 Forest Hill Ave
Poland, OH 44514-3727
Phone (330) 519-7817

Other practice location 1

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 729-7960

Other practice location 2

667 Eastland Ave SE
Warren, OH 44484-4503
Phone (330) 729-7960

Other practice location 3

6252 Mahoning Ave
Austintown, OH 44515-2003
Phone (330) 792-7418

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Columbiana
Other URL Boardman

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20230707001065 OH Practitioner - Emergency Medicine 2264833854 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as group
Quality
97.69
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.8 of 100Reported as group
Quality
79.54
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.13 of 100Reported as group
Quality
78.7
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.13 of 100Reported as group
Quality
79.67
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mahoning Valley Emergency Specialists LLC Emergency Medicine CurrentSince Jun 13, 2024 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Mves Boardman LLC Emergency Medicine CurrentSince Jun 13, 2024 Accepting new patients
4M Emergency Systems Tod LLC Emergency Medicine CurrentSince Jan 26, 2025 Accepting new patients
4M Emergency Systems LLC Emergency Medicine CurrentSince Jun 13, 2024 Accepting new patients
Mves Austintown LLC Emergency Medicine CurrentSince Jun 13, 2024 Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients

Locations

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

1995 E State St
Salem, OH 44460
Phone (330) 332-1551

1296 Tod Pl NW
Ste 200
Warren, OH 44485
Phone (330) 306-5040

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1417536319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7158 FOREST HILL AVE",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143727",
            "telephone_number": "330-519-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126725",
            "telephone_number": "330-729-7960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1044 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445041006",
            "country_code": "US",
            "telephone_number": "330-729-7960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "667 Eastland Ave SE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444844503",
            "country_code": "US",
            "telephone_number": "330-729-7960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6252 Mahoning Ave",
            "address_purpose": "LOCATION",
            "city": "Austintown",
            "state": "OH",
            "postal_code": "445152003",
            "country_code": "US",
            "telephone_number": "330-792-7418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "MIKAYLA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.016059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Columbiana",
            "affiliation": "N",
            "address_1": "3003 W Middletown Rd",
            "city": "Columbiana",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444089393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Boardman",
            "affiliation": "N",
            "address_1": "8401 Market St",
            "city": "Boardman",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445126725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.