Albert Odili Boyd, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L7315 Issued in TX

Practice address

2811 Duke of Gloucester St
Desoto, TX 75115-2017

Phone

(972) 296-7500

Fax

(972) 296-7588

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Specialty

Family Practice

Education

Other, 1978

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valor Hospice Hospice, Fort Worth, TX, CCN 741787
• Williamsburg Village Healthcare Campus Nursing home, Desoto, TX, CCN 675756

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Dallas County Hospital District

  • Skilled Nursing Facility
  • Desoto, TX
  • NPI 1629062369

  Adp of the SNF

  CMS ownership

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.

• Albert Boyd MD PA

  • Family Medicine Physician
  • Desoto, TX
  • NPI 1336329150
  Medicare reassignment NPD Authorized official
• Dallas County Hospital District

  • Skilled Nursing Facility
  • Desoto, TX
  • NPI 1629062369
  NPD (past)
• Raj Shiwach, MD, PA

  • Psychiatry Physician
  • Desoto, TX
  • NPI 1750589016
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dallas County Hospital District

  • Skilled Nursing Facility
  • Desoto, TX
  • NPI 1629062369

  Nursing home

  Care Compare affiliation
• Epic Hospice Care LLC

  • Community Based Hospice Care Agency
  • Fort Worth, TX
  • NPI 1972039949
  Care Compare affiliation

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1679548721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 DUKE OF GLOUCESTER ST",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152017",
            "telephone_number": "972-296-7500",
            "fax_number": "972-296-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 DUKE OF GLOUCESTER ST",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152017",
            "telephone_number": "972-296-7500",
            "fax_number": "972-296-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "ALBERT",
        "middle_name": "ODILI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L7315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10012782",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "1627911",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARKLAND",
            "identifier": "14666",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4205433",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7751501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0023LB",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKennizie Boodram, LAT
• Misty Booker
• Rachael Bowen, APRN
• Da'Kimbria Bowers,
• Boyce Interprises Inc
• Mary Annette Boyd
• Amirah Boyo, LMT, MMT
• Brianna Marie Bradshaw, ATC
• Tonya Annette Bradshaw, LPC
• Naishadh Brahmbhatt, MD

• Family Medicine Physician in Desoto, TX
• Providers in Desoto, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.