Individual provider Active NPI

Kenneth Andrew Boyle Jr., M.D.

  • Ophthalmology Physician
  • Upper Arlington, OH
National Provider Identifier
1427044072
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35.067552 Issued in OH
Practice address
2250 N Bank Dr
Upper Arlington, OH 43220-5420
Phone
(614) 451-7550
Fax
(614) 451-8642
NPI assigned
Sep 20, 2005
Last updated
Jun 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35.067552 OH Primary

Addresses

Primary practice location

2250 N Bank Dr
Upper Arlington, OH 43220-5420

Mailing address

2250 N Bank Dr
Upper Arlington, OH 43220-5420
Phone (614) 451-7550

Other identifiers 3

IdentifierTypeStateIssuer
2040893MedicaidOH
0920109OtherOHAETNA
000000120975OtherOHANTHEM BCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kboyle@nwes.emadirect.md

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
I20050627001069 OH Practitioner - Ophthalmology 5395639488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians, LLCGroup PAC ID 6800207192, 36 clinicians

Practice addresses (Care Compare)

85 E Main St
New Albany, OH 43054-9466
Phone (614) 451-7550

Merit-based Incentive Payment System (MIPS)

Final score
84.51 of 100Reported as group
Quality
79.46
Promoting interoperability
88
Improvement activities
40
Cost
78.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery326

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians, LLC CurrentSince Mar 1, 2020 Accepting new patients
Eye Physicians, LLC Ophthalmology CurrentSince Dec 1, 2020 Accepting new patients
Olentangy Eye and Laser Associates, Inc. Ophthalmology PastSince Nov 25, 1996 Accepting new patients

Locations

855 W Market St
Lima, OH 45805
Phone (419) 224-1224

85 E Main St
New Albany, OH 43054
Phone (614) 304-2050

2250 N Bank Dr
Upper Arlington, OH 43220
Phone (614) 451-7550

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

Interoperability endpoints

  • Direct secure messaging: kboyle@nwes.emadirect.md

Organizations & group practices 3

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1427044072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 N BANK DR",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432205420",
            "telephone_number": "614-451-7550",
            "fax_number": "614-451-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 N BANK DR",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432205420",
            "telephone_number": "614-451-7550",
            "fax_number": "614-451-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "KENNETH",
        "middle_name": "ANDREW",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.067552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2040893",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0920109",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000120975",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kboyle@nwes.emadirect.md",
            "affiliation": "N",
            "address_1": "2250 N Bank Dr",
            "city": "Upper Arlington",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432205420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upper Arlington, OH

Sources for this page

Verify at the official NPI Registry.