NPIMap

Individual provider Active NPI

Michael David Boatright, M.D.

  • Rheumatology Physician
  • Cordova, TN
National Provider Identifier
1710978168
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
37559 Issued in TN
Practice address
540 Trinity Creek CV
Cordova, TN 38018-2279
Phone
(901) 309-5000
Fax
(901) 309-5008
NPI assigned
Nov 3, 2005
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 37559 TN Primary

Addresses

Primary practice location

540 Trinity Creek CV
Cordova, TN 38018-2279

Mailing address

540 Trinity Creek CV
Cordova, TN 38018-2279
Phone (901) 309-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.boatright@direct.rocm.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20050617000113 TN Practitioner - Rheumatology 6507800802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Tennessee, HSC, College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rheumatology and Osteoporosis Center of Memphis, P.CGroup PAC ID 8224080718, 3 clinicians

Practice addresses (Care Compare)

540 Trinity Creek Cove
Cordova, TN 38018-2279

540 Trinity Creek CV
Cordova, TN 38018-2279
Phone 90130950005037

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.6 of 100Reported as group
Quality
99.13
Improvement activities
40
Cost
63.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37559TNMDPharmacist

Interoperability endpoints

  • Direct secure messaging: david.boatright@direct.rocm.nextgenshare.com
  • Direct secure messaging: mboatright30092@mlh.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1710978168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 TRINITY CREEK CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380182279",
            "telephone_number": "901-309-5000",
            "fax_number": "901-309-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 TRINITY CREEK CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380182279",
            "telephone_number": "901-309-5000",
            "fax_number": "901-309-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATRIGHT",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TN",
            "license": "37559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.boatright@direct.rocm.nextgenshare.com",
            "affiliation": "N",
            "address_1": "540 Trinity Creek Cv",
            "city": "Cordova",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380182279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.