Individual provider Active NPI

Boris Ioffe, D.O.

  • Dermatology Physician
  • Duncanville, TX
National Provider Identifier
1598949646
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
M2659 Issued in TX
Practice address
706 W Center St
Duncanville, TX 75116-4568
Phone
(972) 780-0707
NPI assigned
Dec 26, 2007
Last updated
Dec 26, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X M2659 TX Primary

Addresses

Primary practice location

706 W Center St
Duncanville, TX 75116-4568

Mailing address

706 W Center St
Duncanville, TX 75116-4568
Phone (972) 780-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080930000099 TX Practitioner - Dermatology 9335216696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of North Texas HSC, College of Osteopathic Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology PAGroup PAC ID 3971827791, 106 clinicians

Practice addresses (Care Compare)

1622 8TH Ave
Suite 100
Fort Worth, TX 76104-4155
Phone (817) 927-2332

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
76.91
Promoting interoperability
91
Improvement activities
40
Cost
77.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision35
Removal of skin lesions2117
Skin biopsy707

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology PA Dermatology CurrentSince May 15, 2022 Accepting new patients
R Todd Plott MD PA Dermatology CurrentSince Oct 30, 2011 Accepting new patients
Dermatology Institute Dermatology Past Accepting new patients

Locations

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

12469 Timberland Blvd
Ste 501
Fort Worth, TX 76244
Phone (817) 431-6555

1622 8th Ave
Ste 100
Fort Worth, TX 76104
Phone (817) 927-2332

912 Foster Ln
Ste 200
Weatherford, TX 76086
Phone (817) 489-6789

Interoperability endpoints

  • Direct secure messaging: boris.ioffe@epiphanyderm.emadirect.md
  • FHIR API: https://fhir-myrecord.cerner.com/r4/OUq4sfoCPKtQL-ACHoGyRXMXcfN_WjFC/

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1598949646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 W CENTER ST",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164568",
            "telephone_number": "972-780-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W CENTER ST",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164568",
            "telephone_number": "972-780-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IOFFE",
        "first_name": "BORIS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M2659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

Verify at the official NPI Registry.