Individual provider Active NPI

Whitney Boling, M.D.

  • Ophthalmology Physician
  • Elkhart, IN
National Provider Identifier
1629333133
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01077024A Issued in IN
Practice address
2746 Old US 20 W
Ste B
Elkhart, IN 46514-1364
Phone
(574) 293-3545
Fax
(574) 522-0599
NPI assigned
Jul 10, 2012
Last updated
Apr 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01077024A IN Primary

Addresses

Primary practice location

2746 Old US 20 W
Ste B
Elkhart, IN 46514-1364

Mailing address

2746 Old US 20 W
Ste B
Elkhart, IN 46514-1364
Phone (574) 293-3545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20170510000406 IN Practitioner - Ophthalmology 1153546171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boling Vision Center LLCGroup PAC ID 6103921556, 12 clinicians

Practice addresses (Care Compare)

1615 Winsted Dr
Suite 1
Goshen, IN 46526-4696
Phone (574) 293-3545

17900 Ireland Rd
South Bend, IN 46614-3050
Phone (574) 293-3545

2004 Edison Rd a
South Bend, IN 46617-1712
Phone (574) 293-3545

2746 Old US 20
Suite B
Elkhart, IN 46514-1365
Phone (574) 293-3545

2746 Old US 20 W C
Elkhart, IN 46514-1365
Phone (574) 293-8366

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.44 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery163

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boling Vision Center, LLC Ophthalmology CurrentSince Jul 1, 2017 Accepting new patients
Boling Vision Center, LLC CurrentSince Jul 1, 2017 Accepting new patients
Elkhart Day Surgery, LLC Past Accepting new patients

Locations

2746 US Highway 20 W
Ste B
Elkhart, IN 46514
Phone (574) 293-3545

2746 US Highway 20 W
Ste C
Elkhart, IN 46514
Phone (574) 293-3545

1615 Winsted Dr
Ste 1
Goshen, IN 46526
Phone (574) 293-3545

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.

Hospital & facility affiliations 1

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1629333133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2746 OLD US 20 W",
            "address_2": "STE B",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141364",
            "telephone_number": "574-293-3545",
            "fax_number": "574-522-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2746 OLD US 20 W",
            "address_2": "STE B",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141364",
            "telephone_number": "574-293-3545",
            "fax_number": "574-522-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLING",
        "first_name": "WHITNEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01077024A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.