Active NPI
Charles Michael Boyd, DPM
- Podiatrist
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 00944
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H792 | Other | MD | BLUE CROSS |
| 429388600 | Medicaid | MD | |
| E602 | Other | MD | NATIONAL 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Quality
- 59.97
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 17 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 312 |
| Removal or shaving of skin growth | 82 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 944 | MD | MD | Psychiatry Physician |
| 00944 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Path Care PC | Podiatrist | Current | 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
- charles.boyd.1@4399.direct.athenahealth.com
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.