Active NPI
Mark E Boykiw, M.D.
- Surgery Physician
- Indiana, PA
National Provider Identifier
1538160718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD021715E
- Practice address
- 841 Hospital Rd
Suite 3100
Indiana, PA 15701-3620 - Phone
- (724) 349-3170
- Fax
- (724) 349-3410
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD021715E | PA | Primary |
Addresses
Primary practice location
841 Hospital Rd
Suite 3100
Indiana, PA 15701-3620
Mailing address
841 Hospital Rd
Suite 3100
Indiana, PA 15701-3620
Phone (724) 349-3170
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1277920 | Other | PA | UMWA FUNDS |
| 5479306 | Other | PA | AETNA |
| 252167 | Other | PA | UPMC |
| 1503139 | Other | PA | GATEWAY HEALTH PLAN |
| 020046431 | Other | PA | RAILROAD MEDICARE |
| 0008638910003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD021715E | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark E. Boykiw, M.D. | Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1538160718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 HOSPITAL RD",
"address_2": "SUITE 3100",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013620",
"telephone_number": "724-349-3170",
"fax_number": "724-349-3410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 HOSPITAL RD",
"address_2": "SUITE 3100",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013620",
"telephone_number": "724-349-3170",
"fax_number": "724-349-3410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYKIW",
"first_name": "MARK",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD021715E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA FUNDS",
"identifier": "1277920",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5479306",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "252167",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "1503139",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020046431",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008638910003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indiana, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.