NPIMap

Individual provider Active NPI

Beth Kratochvil Boyarsky, M.D.

  • Addiction Psychiatry Physician
  • Charlotte, NC
National Provider Identifier
1487731758
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
2023-02166 Issued in NC
Practice address
1021 Morehead Medical Dr
Charlotte, NC 28204-2990
Phone
(980) 442-2000
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X K5459 TX
Addiction Psychiatry Physician 2084P0802X 2023-02166 NC Primary

Addresses

Primary practice location

1021 Morehead Medical Dr
Charlotte, NC 28204-2990

Mailing address

20314 Colony Point LN
Cornelius, NC 28031-6013
Phone (475) 529-5556

Other identifiers 2

IdentifierTypeStateIssuer
11785118OtherCAQH
02933957MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190514000669 TX Practitioner - Psychiatry 6305936352 Reassigns benefits to 2 organizations
I20240710005270 NC Practitioner - Psychiatry 6305936352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical Branch at Galveston, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

447 Billingsley Rd
Charlotte, NC 28211-1007
Phone (704) 444-2400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K5459TXMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jul 8, 2024 Accepting new patients
Carolinas Medical Center CurrentSince Jul 8, 2024 Accepting new patients
Bluebonnet Trails Community MHMR Center CurrentSince May 6, 2019 Accepting new patients
Bluebonnet Trails Community MHMR Center CurrentSince May 6, 2019 Accepting new patients
Carolinas Medical Center CurrentSince Jul 8, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jul 8, 2024 Accepting new patients
Tri-County Clinical Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Tri-County Clinical CurrentSince Nov 22, 2018 Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

16740 Davidson Concord Rd
Ste 200
Davidson, NC 28036
Phone (704) 444-5881

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

711 N College St
Georgetown, TX 78626
Phone (512) 869-2650

1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374

Interoperability endpoints

  • Direct secure messaging: bboyarsky2896845@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 10

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.

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714176000000",
    "number": "1487731758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20314 COLONY POINT LN",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316013",
            "telephone_number": "475-529-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MOREHEAD MEDICAL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042990",
            "telephone_number": "980-442-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYARSKY",
        "first_name": "BETH",
        "middle_name": "KRATOCHVIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "TX",
            "license": "K5459",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NC",
            "license": "2023-02166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11785118",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02933957",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.