Active NPI
Rajendra Boyilla
- Internal Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301509133
- Practice address
- 2799 W Grand Blvd
Detroit, MI 48202-2608 - Phone
- (800) 653-6568
- Fax
- (313) 876-1305
- NPI assigned
- Mar 23, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 320497 | LA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 4301509133 | MI | Primary |
Addresses
Primary practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (800) 653-6568
Other practice location 1
7807 N Jefferson Place Cir
Baton Rouge, LA 70809-8632
Phone (901) 206-6887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 320497 | LA | MD | Internal Medicine Physician |
| 4301509133 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Baton Rouge Clinic, a Medical Corporation | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Internal Medicine | Current | Accepting new patients |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Baton Rouge Clinic, a Medical Corporation | Internal Medicine | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Internal Medicine | Current | Accepting new patients |
Locations
3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917
3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615
7373 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-9790
8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000
4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Interoperability endpoints
- rboyilla843582@direct.hfhs.org
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
dba Henry Ford Macomb Family Medicine
- Family Medicine Physician
- Clinton TWP, MI
- NPI 1134265986
Internal Medicine
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1871546911
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
LA
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1891702833
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
dba Henry Ford Health Macomb Hospital
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
dba Baton Rouge Clinic Eye Care
- Ophthalmology Physician
- Baton Rouge, LA
- NPI 1528941655
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
dba Henry Ford West Bloomfield Hospital
- General Acute Care Hospital
- West Bloomfield, MI
- NPI 1407867559
-
dba Henry Ford Health Center Brownstown
- Ambulatory Surgical Clinic/Center
- Wyandotte, MI
- NPI 1093901035
Hospital
-
- General Acute Care Hospital
- Wyandotte, MI
- NPI 1992725352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1467814004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FORD PL STE 3A",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023450",
"telephone_number": "800-653-6568",
"fax_number": "313-876-1305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "800-653-6568",
"fax_number": "313-876-1305"
}
],
"practiceLocations": [
{
"address_1": "7807 N Jefferson Place Cir",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708098632",
"country_code": "US",
"telephone_number": "901-206-6887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYILLA",
"first_name": "RAJENDRA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-23",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "320497",
"primary": false
},
{
"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": "MI",
"license": "4301509133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.