Individual provider Active NPI

John Boccia, D.O.

  • Internal Medicine Physician
  • Anthem, AZ
National Provider Identifier
1548233141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3685 Issued in AZ
Practice address
40417 N Capra Way
Anthem, AZ 85086-1704
Phone
(623) 551-9478
Fax
(623) 551-9479
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3685 AZ Primary

Addresses

Primary practice location

40417 N Capra Way
Anthem, AZ 85086-1704

Mailing address

40417 N Capra Way
Anthem, AZ 85086-1704
Phone (623) 551-9478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060505000050 AZ Practitioner - Internal Medicine 2860403862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dvma LLCGroup PAC ID 0941302053, 56 clinicians

Practice addresses (Care Compare)

18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone (623) 974-1500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3685AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dvma, LLC Internal Medicine CurrentSince Jan 1, 2007 Accepting new patients
VHS of Arrowhead, Inc Past Accepting new patients

Locations

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

8424 E Shea Blvd
Ste 101
Scottsdale, AZ 85260
Phone (480) 256-1520

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

Organizations & group practices 2

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 3

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548233141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40417 N CAPRA WAY",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850861704",
            "telephone_number": "623-551-9478",
            "fax_number": "623-551-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40417 N CAPRA WAY",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850861704",
            "telephone_number": "623-551-9478",
            "fax_number": "623-551-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCCIA",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "3685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

Verify at the official NPI Registry.