NPIMap

Individual provider Active NPI

Scott T Boyd, MD

  • Anesthesiology Physician
  • Omaha, NE
National Provider Identifier
1699726083
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
S8964 Issued in TX
Practice address
16909 Burke St
210
Omaha, NE 68118-2268
Phone
(402) 932-1644
Fax
(402) 763-8437
NPI assigned
May 12, 2006
Last updated
Nov 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 42618 CO
Anesthesiology Physician 207L00000X S8964 TX Primary

Addresses

Primary practice location

16909 Burke St
210
Omaha, NE 68118-2268

Mailing address

16909 Burke St
Suite 210
Omaha, NE 68118-2268
Phone (402) 932-1644

Other identifiers 1

IdentifierTypeStateIssuer
60583223MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221213000187 TX Practitioner - Anesthesiology 9638153505 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso County Hospital DistrictGroup PAC ID 2365431509, 208 clinicians

Practice addresses (Care Compare)

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 521-7902

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso CurrentSince Dec 1, 2022 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Dec 1, 2022 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Midwest Pain Clinic PC Past Accepting new patients
Texas Tech University Health Sciences Center Odessa Past Accepting new patients
Great Plains Diagnostics, LLC PastSince Aug 27, 2013 Accepting new patients
Alpine Anesthesia Professional LLC Anesthesiology Past Accepting new patients
Colorado Chemistries, LLC PastSince Jan 9, 2011 Accepting new patients
Pain Partners MD LLC PastSince Apr 24, 2004 Accepting new patients
Benchmark Anesthesia Consultants Professional LLC Anesthesiology Past Accepting new patients
Professional Anesthetic Care Inc Anesthesiology Past Accepting new patients
Boulder Valley Anesthesiology, PLLC Anesthesiology PastSince Jun 2, 2024 Accepting new patients

Locations

4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8703/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGBJBD

Organizations & group practices 14

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.

View all 14

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1699726083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16909 BURKE ST",
            "address_2": "SUITE 210",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182268",
            "telephone_number": "402-932-1644",
            "fax_number": "402-763-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16909 BURKE ST",
            "address_2": "210",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182268",
            "telephone_number": "402-932-1644",
            "fax_number": "402-763-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "SCOTT",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "42618",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "S8964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60583223",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.