NPIMap

Individual provider Active NPI

Boris Antomonie Frolov, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Hanover, MD
National Provider Identifier
1780690107
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
D007743 Issued in MD
Practice address
7250 Parkway Dr
Suite #500
Hanover, MD 21076-1388
Phone
(443) 949-0814
Fax
(443) 949-0825
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X D77483 MD
Geriatric Medicine (Internal Medicine) Physician 207RG0300X D007743 MD Primary

Addresses

Primary practice location

7250 Parkway Dr
Suite #500
Hanover, MD 21076-1388

Mailing address

7250 Parkway Dr
Suite #500
Hanover, MD 21076-1388
Phone (443) 949-0814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150609002093 MD Practitioner - Nuclear MedicinePractitioner - Internal Medicine 4688995160 Reassigns benefits to 4 organizations
I20151005002143 DC Practitioner - Nuclear Medicine 4688995160 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Juniper Healthcare LLCGroup PAC ID 1355648064, 6 clinicians

Practice addresses (Care Compare)

12021 Livingston Rd
Fort Washington, MD 20744-4210
Phone (410) 465-7850

Hospital & facility affiliations

  • Western Maryland Regional Medical Center Hospital, Cumberland, MD, CCN 210027
  • FT Washington Rehabilitation and Wellness Center Nursing home, Fort Washington, MD, CCN 215146
  • Hidden Waters Rehabilitation and Wellness Center Nursing home, Clinton, MD, CCN 215231
  • Cumberland Healthcare Center Nursing home, Cumberland, MD, CCN 215055

Merit-based Incentive Payment System (MIPS)

Final score
24.96 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
83.2

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D007743MDMDGeriatric Medicine (Internal Medicine) Physician
D77483MDMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Healthcare, LLC CurrentSince May 1, 2023 Accepting new patients
Juniper Healthcare LLC CurrentSince Sep 24, 2020 Accepting new patients
Apex Healthcare, LLC CurrentSince May 1, 2023 Accepting new patients
Aditya Chopra, MD, PC CurrentSince Nov 6, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Clinton Nursing, LLC Past Accepting new patients
Synergy Medical Group LLC Past Accepting new patients
Livingston Leasing Co., LLC Past Accepting new patients
Marlboro Leasing Co., LLC Past Accepting new patients
Washington (West) Leasing Co., LLC Past Accepting new patients

Locations

600 Ridgely Ave
Ste 231
Annapolis, MD 21401
Phone (410) 266-8116

6116 Belair Rd
Baltimore, MD 21206
Phone (410) 426-1424

15005 Health Center Dr
Bowie, MD 20716
Phone (301) 805-6070

9211 Stuart Ln
Clinton, MD 20735
Phone (301) 868-3600

9055 Chevrolet Dr
Ste 103
Ellicott City, MD 21042
Phone (443) 355-6290

12021 Livingston Rd
Ft Washington, MD 20744
Phone (301) 292-0300

299 Hurley Ave
Rockville, MD 20850
Phone (301) 762-8900

1205 York Rd
Ste 11
Timonium, MD 21093
Phone (443) 325-0031

7801 York Rd
Ste 240
Towson, MD 21204
Phone (410) 323-9214

Organizations & group practices 12

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 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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1780690107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 PARKWAY DR",
            "address_2": "SUITE #500",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761388",
            "telephone_number": "443-949-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 PARKWAY DR",
            "address_2": "SUITE #500",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761388",
            "telephone_number": "443-949-0814",
            "fax_number": "443-949-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROLOV",
        "first_name": "BORIS",
        "middle_name": "ANTOMONIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "MD",
            "license": "D77483",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D007743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MD

Sources for this page

Verify at the official NPI Registry.