Individual provider Active NPI

Charles Michael Boyd, DPM

  • Podiatrist
  • Columbia, MD
National Provider Identifier
1861578445
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00944 Issued in MD
Practice address
5500 Knoll North Dr Ste 440
Columbia, MD 21045-2364
Phone
(410) 730-0970
Fax
(410) 730-0161
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00944 MD Primary

Addresses

Primary practice location

5500 Knoll North Dr Ste 440
Columbia, MD 21045-2364

Mailing address

1 North Main Street
Bel Air, MD 21014
Phone (410) 803-0788

Other practice location 1

795 Aquahart Rd Ste 125
Glen Burnie, MD 21061-3905
Phone (410) 768-0702

Other identifiers 3

IdentifierTypeStateIssuer
H792OtherMDBLUE CROSS
429388600MedicaidMD
E602OtherMDNATIONAL CAP BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051117000545 MD Practitioner - Podiatry 1456370501 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatry Associates PA 18 clinicians

Practice addresses (Care Compare)

1 N Main St
Suite 1
Bel Air, MD 21014-3592
Phone (410) 879-1212

Merit-based Incentive Payment System (MIPS)

Final score
78.44 of 100Reported as group
Quality
59.97
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of skin lesions1-10
Removal of nail tissue312
Removal or shaving of skin growth82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
944MDMDPsychiatry Physician
00944MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Path Care PC Podiatrist CurrentSince Dec 1, 2025 Accepting new patients

Locations

1 N Main St
Ste 1
Bel Air, MD 21014
Phone (410) 927-3510

1 N Main St
Bel Air, MD 21014
Phone (410) 803-0788

2 E Rolling Xrds
Ste 55
Catonsville, MD 21228
Phone (410) 265-5300

5500 Knoll North Dr
Ste 440
Columbia, MD 21045
Phone (410) 730-0970

795 Aquahart Rd
Ste 125
Glen Burnie, MD 21061
Phone (410) 768-0702

110 Old Padonia Rd
Ste 301
Hunt Valley, MD 21030
Phone (410) 560-5800

9114 Philadelphia Rd
Ste 308
Rosedale, MD 21237
Phone (410) 574-3900

1205 York Rd
Ste 17
Timonium, MD 21093
Phone (410) 583-9206

Interoperability endpoints

  • Direct secure messaging: charles.boyd.1@4399.direct.athenahealth.com
  • Direct secure messaging: charles.boyd.1@6814.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1861578445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NORTH MAIN STREET",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-803-0788",
            "fax_number": "410-803-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 KNOLL NORTH DR STE 440",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452364",
            "telephone_number": "410-730-0970",
            "fax_number": "410-730-0161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "795 Aquahart Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210613905",
            "country_code": "US",
            "telephone_number": "410-768-0702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "00944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "H792",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429388600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CAP BLUE",
            "identifier": "E602",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.