Active NPI
Agnieszka Boron, MD
- Diagnostic Radiology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- D91242
- Practice address
- 600 N Wolfe St
Baltimore, MD 21264-1110 - Phone
- (410) 955-5080
- NPI assigned
- Apr 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME167738 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | D91242 | MD | Primary |
Addresses
Primary practice location
600 N Wolfe St
Baltimore, MD 21264-1110
Mailing address
6201 Greenleigh Ave
Baltimore, MD 21220-2004
Phone (410) 933-6340
Other practice location 1
52 W Underwood St
Orlando, FL 32806-1110
Phone (321) 843-2584
Other practice location 2
1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 549-0677
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123215800 | Medicaid | FL | |
| TC738 | Other | FL | MEDICARE HF |
| 207674801 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, FL, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 725-4500
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000
1810 Eldron Blvd SE
Palm Bay, FL 32909-6831
Phone (321) 434-1981
1855 Knox McRae Dr
Titusville, FL 32780-5492
Phone (321) 269-2028
205 E Nasa Blvd
Melbourne, FL 32901-1937
Phone (321) 725-4500
2222 S Harbor City Blvd
Melbourne, FL 32901-5591
Phone (321) 723-7716
2616 Foster Ave
Baltimore, MD 21224-3710
Phone (321) 837-3820
699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562
7125 Murrell Rd
Viera, FL 32940-7999
Phone (321) 242-8790
730 Malabar Rd
Malabar, FL 32950-3140
Phone (321) 409-6800
8725 N Wickham Rd
Melbourne, FL 32940-2240
Hospital & facility affiliations
- Holmes Regional Medical Center
- Viera Hospital
- Cape Canaveral Hospital
- Palm Bay Hospital
- Parrish Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D91242 | MD | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health First Medical Group, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Brevard Physician Associates, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Brevard Physician Associates, PLLC | Past | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931
Phone (321) 799-7111
1220 N Highway A1A
Ste 147
Indialantic, FL 32903
Phone (321) 951-9087
730 Malabar Rd
Malabar, FL 32950
Phone (321) 409-6800
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
1130 Hickory St
Ste A
Melbourne, FL 32901
Phone (321) 409-1956
8725 N Wickham Rd
Ste 302
Melbourne, FL 32940
Phone (321) 434-9230
1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677
2627 W Eau Gallie Blvd
Ste 101
Melbourne, FL 32935
Phone (321) 837-3654
1130 Hickory St
Ste B
Melbourne, FL 32901
Phone (321) 752-0944
1425 Malabar Rd NE
Palm Bay, FL 32907
Phone (321) 434-8000
1810 Eldron Blvd SE
Palm Bay, FL 32909
Phone (321) 312-3466
7125 Murrell Rd
Viera, FL 32940
Phone (321) 242-8790
8745 N Wickham Rd
Viera, FL 32940
Phone (321) 434-7191
600 N Wolfe St
Baltimore, MD 21287
6420 Rockledge Dr
Bethesda, MD 20817
Phone (301) 896-6700
5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
Interoperability endpoints
- aboron697825@direct.hopkinsmedicine.org
- aboron71988@epicdirect.hf.org
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1598008955
Diagnostic Radiology, MD
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Diagnostic Radiology
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
dba JHU - 6849 Old Dominion Drive - Physician
- Neurology Physician
- McLean, VA
- NPI 1598552226
-
- Vascular & Interventional Radiology Physician
- Melbourne, FL
- NPI 1124691159
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
dba Palm Bay Hospital
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
dba Parrish Medical Center
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1477015956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-6340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N WOLFE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212641110",
"telephone_number": "410-955-5080"
}
],
"practiceLocations": [
{
"address_1": "52 W Underwood St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328061110",
"country_code": "US",
"telephone_number": "321-843-2584",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1223 Gateway Dr",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329012607",
"country_code": "US",
"telephone_number": "321-549-0677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORON",
"first_name": "AGNIESZKA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME167738",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D91242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123215800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE HF",
"identifier": "TC738",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207674801",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.