Individual provider Active NPI

Susan H Boyle, M. D.

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1871507418
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101258877 Issued in VA
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

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
D0079924OtherMDSTATE LICENSE
041734OtherGASTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221111002232 VA Practitioner - Family Practice 8729022595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.25 of 100Reported as group
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

LicenseStateTypeSpecialty
041734GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Primary Care LLC Family Medicine CurrentSince Jan 6, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.