Active NPI
Ananda Boyer, M.D.
- Obstetrics & Gynecology Physician
- Rutland, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 042.0014269
- Practice address
- 147 Allen St
Rutland, VT 05701 - Phone
- (802) 775-1901
- Fax
- (802) 775-1974
- NPI assigned
- Jul 17, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD162987 | OR | |
| Obstetrics & Gynecology Physician | 207V00000X | 4301094691 | MI | |
| Obstetrics & Gynecology Physician | 207V00000X | 042.0014269 | VT | Primary |
Addresses
Primary practice location
147 Allen St
Rutland, VT 05701
Mailing address
147 Allen St
Rutland, VT 05701-4555
Phone (802) 775-1901
Other practice location 1
1810 E 19th St
Suite 209
The Dalles, OR 97058-3388
Phone (541) 296-5657
Other practice location 2
160 Allen St
Rutland, VT 05701-4560
Phone (802) 775-7111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780814293 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190624000135 | VT | Practitioner - Obstetrics/Gynecology | 3375777592 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Vermont College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rutland Hospital, Inc.
Practice addresses (Care Compare)
147 Allen St
Rutland, VT 05701-4555
Phone (802) 775-1901
Hospital & facility affiliations
- Rutland Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301094691 | MI | MD | Obstetrics & Gynecology Physician |
| 042.0014269 | VT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Mid Vermont Pathology PC | Current | Accepting new patients | |
| Rutland Hospital, Inc | Current | Accepting new patients | |
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Past | Accepting new patients | |
| Rutland Hospital, Inc. | Past | Accepting new patients |
Locations
147 Allen St
Rutland, VT 05701
Phone (802) 775-1901
160 Allen St
Rutland, VT 05701
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6f43d0e7-6ff2-489b-abdc-44e8a5e0ca0a/
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Rutland, VT
- NPI 1194789941
-
- Specialist
- Rutland, VT
- NPI 1295799047
-
- Psychiatric Hospital Unit
- Rutland, VT
- NPI 1467416206
-
- Specialist
- Rutland, VT
- NPI 1578527578
-
- General Acute Care Hospital
- Rutland, VT
- NPI 1720042203
-
- Pharmacy
- Rutland, VT
- NPI 1295287936
-
- Anatomic Pathology & Clinical Pathology Physician
- Rutland, VT
- NPI 1316085814
-
- Rural Health Clinic/Center
- The Dalles, OR
- NPI 1154351336
Hospital & facility affiliations 1
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": "1247788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556496000000",
"number": "1780814293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 ALLEN ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014555",
"telephone_number": "802-775-1901",
"fax_number": "802-775-1974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 ALLEN ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "05701",
"telephone_number": "802-775-1901",
"fax_number": "802-775-1974"
}
],
"practiceLocations": [
{
"address_1": "1810 E 19th St",
"address_2": "Suite 209",
"address_purpose": "LOCATION",
"city": "The Dalles",
"state": "OR",
"postal_code": "970583388",
"country_code": "US",
"telephone_number": "541-296-5657",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "160 Allen St",
"address_purpose": "LOCATION",
"city": "Rutland",
"state": "VT",
"postal_code": "057014560",
"country_code": "US",
"telephone_number": "802-775-7111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYER",
"first_name": "ANANDA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-17",
"last_updated": "2019-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "MD162987",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301094691",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VT",
"license": "042.0014269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780814293",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.