NPIMap

Individual provider Active NPI

Ian Boykin, MD

  • Internal Medicine Physician
  • Fort Pierce, FL
National Provider Identifier
1891772596
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
80735 Issued in FL
Practice address
2000 Nebraska Ave
Fort Pierce, FL 34950-4833
Phone
(772) 465-4444
Fax
(772) 466-4499
NPI assigned
Dec 23, 2005
Last updated
Jul 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 80735 FL Primary

Addresses

Primary practice location

2000 Nebraska Ave
Fort Pierce, FL 34950-4833

Mailing address

2000 Nebraska Ave
Fort Pierce, FL 34950-4833
Phone (772) 465-4444

Other identifiers 3

IdentifierTypeStateIssuer
51697OtherFLBLUECROSS BLUE SHIELD
010598341OtherFLCOMMERCIAL INSURANCE
80735OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408000066 FL Practitioner - Internal Medicine 2668465162 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Department of HealthGroup PAC ID 3072424282, shared by 68 NPIs, 126 clinicians
Ian Boykin MD PAGroup PAC ID 5092848440, 7 clinicians

Practice addresses (Care Compare)

1728 NW 9TH Ave
Okeechobee, FL 34972-4340
Phone (863) 462-5779

2000 Nebraska Ave
Fort Pierce, FL 34950-4833

3441 SE Willoughby Blvd
Stuart, FL 34994-5060
Phone (772) 221-4000

7205 S George Blvd
Sebring, FL 33875-5847
Phone (863) 382-6040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
80735FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Dec 24, 2023 Accepting new patients
Florida Department of Health CurrentSince Jul 1, 2022 Accepting new patients
Ian Boykin MD PA Internal Medicine CurrentSince Feb 1, 2010 Accepting new patients
Florida Department of Health CurrentSince Sep 15, 2022 Accepting new patients
Florida Department of Health CurrentSince Jul 1, 2022 Accepting new patients
Treasure Coast Senior Care LLC Internal Medicine CurrentSince Dec 4, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2000 Nebraska Ave
Fort Pierce, FL 34950
Phone (772) 464-3657

1728 NW 9th Ave
Okeechobee, FL 34972
Phone (863) 462-5779

5150 NW Milner Dr
Port St Lucie, FL 34983
Phone (772) 462-3800

7205 S George Blvd
Sebring, FL 33875
Phone (863) 382-6040

3441 SE Willoughby Blvd
Stuart, FL 34994
Phone (772) 221-4000

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Port St. Lucie Rehabilitation and HealthcarePort St Lucie, FL, CCN 105410 Skilled nursing facility Adp of the SNF Jan 3, 2024
Vivo Healthcare Ft PierceFort Pierce, FL, CCN 105804 Skilled nursing facility Adp of the SNF Sep 1, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1891772596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NEBRASKA AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504833",
            "telephone_number": "772-465-4444",
            "fax_number": "772-465-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NEBRASKA AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504833",
            "telephone_number": "772-465-4444",
            "fax_number": "772-466-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKIN",
        "first_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "80735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "51697",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "010598341",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "80735",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.