Individual provider Active NPI

Agnieszka Boron, MD

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1477015956
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D91242 Issued in MD
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

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
123215800MedicaidFL
TC738OtherFLMEDICARE HF
207674801MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, FL, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240430003320 MD Practitioner - Diagnostic Radiology 9133453392 Reassigns benefits to 1 organization
I20240707000140 FL Practitioner - Diagnostic Radiology 9133453392 Reassigns benefits to 2 organizations
I20240807000389 DC Practitioner - Diagnostic Radiology 9133453392 Reassigns benefits to 1 organization

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
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians
Brevard Physician Associates PLLCGroup PAC ID 1850535048, 221 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
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

LicenseStateTypeSpecialty
D91242MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC Diagnostic Radiology CurrentSince Sep 5, 2024 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2024 Accepting new patients
Health First Medical Group, LLC CurrentSince Sep 5, 2024 Accepting new patients
Brevard Physician Associates, PLLC Diagnostic Radiology CurrentSince Jul 1, 2024 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

  • Direct secure messaging: aboron697825@direct.hopkinsmedicine.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.