Active NPI
Susan H Boyle, M. D.
- Family Medicine Physician
- Richmond, VA
National Provider Identifier
1871507418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101258877
- Practice address
- 2603 Nine Mile Rd
Ste 220
Richmond, VA 23223 - Phone
- (804) 893-8627
- NPI assigned
- Jul 28, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 041734 | GA | |
| Family Medicine Physician | 207Q00000X | 0101258877 | VA | Primary |
Addresses
Primary practice location
2603 Nine Mile Rd
Ste 220
Richmond, VA 23223
Mailing address
PO Box 639970
Cincinnati, OH 45263-9970
Other practice location 1
300 S Church St
Middletown, MD 21769-8043
Phone (301) 371-9000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0079924 | Other | MD | STATE LICENSE |
| 041734 | Other | GA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.25 of 100
- Quality
- 86.48
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041734 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Richmond Primary Care LLC | Family Medicine | Current | Accepting new patients |
| Boyle and Toth Family Medicine, L.L.C. | Family Medicine | Current | Accepting new patients |
| The Medical Group of Saint Joseph'S, LLC | Past | Accepting new patients | |
| Piedmont Providers LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
4855 River Green Pkwy
Ste 700
Duluth, GA 30096
Phone (770) 545-8332
4219 Pleasant Hill Rd
#A
Duluth, GA 30096
Phone (770) 622-0192
1362 Tappahannock Blvd
Tappahannock, VA 22560
Phone (804) 443-5378
Interoperability endpoints
- sboyle2739471@direct.bsmhealth.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Richmond, VA
- NPI 1861050635
-
- Family Medicine Physician
- Duluth, GA
- NPI 1841357696
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1669668547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1871507418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639970",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452639970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 NINE MILE RD",
"address_2": "STE 220",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23223",
"telephone_number": "804-893-8627"
}
],
"practiceLocations": [
{
"address_1": "300 S Church St",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "MD",
"postal_code": "217698043",
"country_code": "US",
"telephone_number": "301-371-9000",
"fax_number": "301-371-8905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYLE",
"first_name": "SUSAN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2024-12-12",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "041734",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101258877",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "D0079924",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "041734",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.