Timothy Boley, M.D.

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

MD426303 Issued in PA

Practice address

100 S 2ND St Ste 4B
Harrisburg, PA 17101-2546

Phone

(717) 231-8472

Fax

(717) 231-8490

NPI assigned

Feb 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Merit-based Incentive Payment System (MIPS)

Final score

86.08 of 100Reported as group

Quality

76.48

Promoting interoperability

100

Improvement activities

40

Cost

77.12

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Pinnacle Health Medical Services

  • Family Medicine Physician
  • Harrisburg, PA
  • NPI 1932143427
  Medicare reassignment NPD
• Reading Hospital

  dba Reading Hospital Family Health Care Center

  • Family Medicine Physician
  • West Reading, PA
  • NPI 1194883306

  Maternal & Fetal Medicine

  Medicare reassignment NPD
• Tower Health Medical Group

  dba Internal Medicine - Tower Health Medical Group

  • Internal Medicine Physician
  • Birdsboro, PA
  • NPI 1609291350
  Medicare reassignment NPD
• Pinnacle Health Medical Services

  dba UPMC Gastroenterology Associates of Central PA

  • Gastroenterology Physician
  • Mechanicsburg, PA
  • NPI 1295552073
  NPD
• Pinnacle Health Medical Services

  dba UPMC Children's Specialists-Pulmonary

  • Pediatric Pulmonology Physician
  • Lemoyne, PA
  • NPI 1831736180
  NPD
• Reading Hospital

  dba Reading Hospital Limerick Pharmacy

  • Community/Retail Pharmacy
  • Limerick, PA
  • NPI 1487468914
  NPD
• Tower Health Medical Group

  dba Addiction Medicine - Tower Health Medical Group

  • Addiction Medicine (Family Medicine) Physician
  • Reading, PA
  • NPI 1093266140
  NPD
• Tower Health Medical Group

  dba Breast Health Center Wyomissing Tower Health Medical Group

  • Surgery Physician
  • Wyomissing, PA
  • NPI 1831954353
  NPD

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

{
    "created_epoch": "1140912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1871569210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S 2ND ST STE 4B",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 2ND ST STE 4B",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012546",
            "telephone_number": "717-231-8472",
            "fax_number": "717-231-8490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 Highlands Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175437507",
            "country_code": "US",
            "telephone_number": "717-625-1370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 S 5th Ave",
            "address_purpose": "LOCATION",
            "city": "West Reading",
            "state": "PA",
            "postal_code": "196112143",
            "country_code": "US",
            "telephone_number": "484-628-8972",
            "fax_number": "484-628-9292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLEY",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-26",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "PA",
            "license": "MD426303",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "PA",
            "license": "MD426303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101301146",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "000000169311",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001740376",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-HMO",
            "identifier": "1086483",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2407344000",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tboley173245@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "100 S 2nd St Ste 4B",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171012546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark S Boland, DO FACOS
• Matthew Stephen Boland, D.C.
• Bold Steps ABA of PA
• Bold Steps of PA LLC
• Mary Cardosa Bolduc, CMA PMAC
• Janel Bolig
• George Bernard Boline Jr., MD
• Clyde David Bomgardner Jr., MA, MDIV
• Robert Anthony Bonacci, M.D., M.P.H.
• Mary M Bonar, D.O.

• Neonatal-Perinatal Medicine Physician in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Neonatal-Perinatal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.