Individual provider Active NPI

Michael Boyle, MD

  • Emergency Medicine Physician
  • Falls Church, VA
National Provider Identifier
1700808193
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101048028 Issued in VA
Practice address
3300 Gallows Rd
Emergency Department
Falls Church, VA 22042-3307
Phone
(703) 698-3111
Fax
(904) 346-0113
NPI assigned
Jul 24, 2006
Last updated
Aug 24, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101048028 VA Primary

Addresses

Primary practice location

3300 Gallows Rd
Emergency Department
Falls Church, VA 22042-3307

Mailing address

PO Box 75567
Baltimore, MD 21275-5567
Phone (703) 205-9790

Other identifiers 3

IdentifierTypeStateIssuer
03085494MedicaidNY
010294622MedicaidVA
P00357013OtherVARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20070329000593 VA Practitioner - Emergency Medicine 1355232869 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101048028VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Bayside Emergency Pyhsicians, LLP Emergency Medicine Past Accepting new patients
Bestpractices of North Carolina, Inc. Emergency Medicine Past Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Woodlands Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Bestpractices of West Virginia, Inc. Emergency Medicine Past Accepting new patients
Columbia Healthcare of Central Virginia Inc PastSince Apr 1, 2019 Accepting new patients
Bestpractices, Inc. Emergency Medicine Past Accepting new patients
Bestpractices of Northwest SC Emergency Medicine Past Accepting new patients
Bestpractices, Inc. Emergency Medicine Past Accepting new patients
Bestpractices of Illinois PC Emergency Medicine Past Accepting new patients
Bestpractices of North Carolina PC Emergency Medicine Past Accepting new patients
Memorial Southwest Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Bestpractices of Pennsylvania PC Emergency Medicine Past Accepting new patients
Del Mar Emergency Physicians, LLP Emergency Medicine PastSince May 31, 2005 Accepting new patients
Memorial City Emergency Physicians, LLP Emergency Medicine Past Accepting new patients

Locations

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Interoperability endpoints

  • Direct secure messaging: mic0081@oswegohealth.hiemail.healtheconnections.org

Organizations & group practices 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1700808193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75567",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212755567",
            "telephone_number": "703-205-9790",
            "fax_number": "904-346-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423307",
            "telephone_number": "703-698-3111",
            "fax_number": "904-346-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101048028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03085494",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010294622",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00357013",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.