Individual provider Active NPI

Roderick J Boyes, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Dearborn, MI
National Provider Identifier
1669544037
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
4301044132 Issued in MI
Practice address
18181 Oakwood Blvd
Ste 208
Dearborn, MI 48124-5032
Phone
(313) 271-5565
Fax
(313) 271-1053
NPI assigned
Nov 14, 2006
Last updated
May 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0061434 CO
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301044132 MI Primary

Addresses

Primary practice location

18181 Oakwood Blvd
Ste 208
Dearborn, MI 48124-5032

Mailing address

18181 Oakwood Blvd
Ste 208
Dearborn, MI 48124-5032
Phone (313) 271-5565

Other practice location 1

2400 Edison St
Brush, CO 80723-1640
Phone (970) 842-6200

Other identifiers 2

IdentifierTypeStateIssuer
110H211300OtherMIBCBS MI
2882671-10MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060120000479 MI Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 8426071093 Reassigns benefits to 1 organization
I20230104001278 CO Practitioner - Internal Medicine 8426071093 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0061434COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Services, PC Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
Critical Care Medicine Associates PC Critical Care Medicine CurrentSince Oct 1, 1998 Accepting new patients
Inpatient Services, PC Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
Inpatient Services, PC Internal Medicine Current Accepting new patients
Ccma-BT PLLC Critical Care Medicine CurrentSince Jan 21, 2017 Accepting new patients
East Morgan County Hospital Past Accepting new patients

Locations

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

18181 Oakwood Blvd
Ste 208
Dearborn, MI 48124
Phone (313) 271-5565

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Organizations & group practices 8

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1669544037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD",
            "address_2": "STE 208",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481245032",
            "telephone_number": "313-271-5565",
            "fax_number": "313-271-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD",
            "address_2": "STE 208",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481245032",
            "telephone_number": "313-271-5565",
            "fax_number": "313-271-1053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Edison St",
            "address_purpose": "LOCATION",
            "city": "Brush",
            "state": "CO",
            "postal_code": "807231640",
            "country_code": "US",
            "telephone_number": "970-842-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYES",
        "first_name": "RODERICK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "0061434",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301044132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "110H211300",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2882671-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.