Michael D Boswell, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2009-00333 Issued in NC

Practice address

9012 Kirkley CT
Charlotte, NC 28277

Phone

(440) 681-0320

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA, NC, SC, DC4 enrollments

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 4

Specialty

Internal Medicine

Education

Howard University College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M Medical NC PLLCGroup PAC ID 3870035066, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice & Palliative Care Charlotte Region Hospice, Charlotte, NC, CCN 341500
• Redwood Health & Rehab Nursing home, Charlotte, NC, CCN 345243
• Pine Crest Health & Rehabilitation Nursing home, Charlotte, NC, CCN 345304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• M Medical NC PLLC

  • Internal Medicine Physician
  • Lexington, NC
  • NPI 1770337412
  Medicare reassignment Care Compare group NPD
• Monogram Health Professional Services of North Carolina PC

  • Nephrology Physician
  • Winston Salem, NC
  • NPI 1366162885
  Medicare reassignment
• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1134739089

  DC, SC, VA

  Medicare reassignment
• North East Ohio Group Practice LLC

  • Internal Medicine Physician
  • Middleburg Heights, OH
  • NPI 1063575462
  NPD (past)
• University of Virginia Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Charlottesville, VA
  • NPI 1033138250
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Accordius Health at Charlotte LLC

  dba Eastland Nursing Center

  • Skilled Nursing Facility
  • Charlotte, NC
  • NPI 1518435650

  Nursing home

  Care Compare affiliation
• Hospice & Palliative Care Charlotte Region

  dba VIA Health Partners

  • Community Based Hospice Care Agency
  • Charlotte, NC
  • NPI 1548398720
  Care Compare affiliation
• Shamrock Opco LLC

  dba Shamrock Nursing Center

  • Skilled Nursing Facility
  • Charlotte, NC
  • NPI 1437627593

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1871507608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9012 KIRKLEY CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772750",
            "telephone_number": "440-681-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9012 KIRKLEY CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "440-681-0320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 S Kings Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282072134",
            "country_code": "US",
            "telephone_number": "704-446-1242",
            "fax_number": "704-446-1241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101243068",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.085508",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2009-00333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0033B",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911650",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bianca Patrice Boston, M.A. CCC-SLP
• Precious Boston, DMD
• Russell Boston
• Tiffany Esinhart Bostwick, PA
• April Atkins Boswell, MD
• Robin Brown Boswell, MA, LPC, NCC
• Tara Boswell, OTR/L
• Timothy Lee Botic, LAT, ATC
• Julia Bott, CRNA
• Natalie Lynn Bott

• Internal Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.

Verify at the official NPI Registry.