Individual provider Active NPI

Guillaume Boiteau, M.D.

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
National Provider Identifier
1699090654
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
N6820 Issued in TX
Practice address
220 S Home Ave
Apt # 404
Pittsburgh, PA 15202-2844
Phone
(504) 616-0943
NPI assigned
Apr 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X MT196154 PA
Diagnostic Radiology Physician 2085R0202X N6820 TX Primary

Addresses

Primary practice location

220 S Home Ave
Apt # 404
Pittsburgh, PA 15202-2844

Mailing address

220 S Home Ave
Apt # 404
Pittsburgh, PA 15202-2844
Phone (504) 616-0943

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
I20101209001296 TX Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5698962124 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coaxion PLLCGroup PAC ID 3779099643, 31 clinicians
Concord Radiology PLLCGroup PAC ID 8628332061, 217 clinicians

Practice addresses (Care Compare)

100 E Alton Gloor Blvd
Brownsville, TX 78526-3328
Phone (956) 350-7000

215 Chisholm TRL
Jacksboro, TX 76458-1403
Phone (888) 264-0330

Hospital & facility affiliations

  • Valley Regional Medical Center Hospital, Brownsville, TX, CCN 450662
  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

Merit-based Incentive Payment System (MIPS)

Final score
89.18 of 100Reported as group
Quality
85.58
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N6820TXMDDiagnostic Radiology Physician
MT196154PAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Radiology PLLC Diagnostic Radiology CurrentSince Apr 22, 2024 Accepting new patients
Diagnostic MRI Central LLC Diagnostic Radiology CurrentSince Nov 7, 2020 Accepting new patients
Coaxion PLLC Diagnostic Radiology CurrentSince May 25, 2025 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Apr 4, 2018 Accepting new patients
Sheridan Radiology Services of West Florida, Inc. Diagnostic Radiology Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Radcare of Texas PLLC Diagnostic Radiology Past Accepting new patients

Locations

608 Avenue B
Ballinger, TX 76821
Phone (325) 365-2531

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

100 E Alton Gloor Blvd
#A
Brownsville, TX 78526
Phone (956) 350-7000

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

Organizations & group practices 7

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": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1699090654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S HOME AVE",
            "address_2": "APT # 404",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152022844",
            "telephone_number": "504-616-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S HOME AVE",
            "address_2": "APT # 404",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152022844",
            "telephone_number": "504-616-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOITEAU",
        "first_name": "GUILLAUME",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-02",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MT196154",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "N6820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.