NPIMap

Individual provider Active NPI

Mark Alan Boykin, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1912091109
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L6803 Issued in TX
Practice address
11110 Porter SPGS
San Antonio, TX 78255-4488
Phone
(210) 392-7395
NPI assigned
Oct 3, 2006
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X L6803 TX Primary
Diagnostic Radiology Physician 2085R0202X 283387 NY
Diagnostic Radiology Physician 2085R0202X ME127732 FL

Addresses

Primary practice location

11110 Porter SPGS
San Antonio, TX 78255-4488

Mailing address

13737 Noel Rd., Ste 1600-Rays
Attn: Rays
Dallas, TX 75240
Phone (303) 933-8270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20051107001098 TX Practitioner - Diagnostic Radiology 6901824085 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mands Radiology Associates PAGroup PAC ID 3173505088, 54 clinicians
VHS San Antonio Imaging Partners LPGroup PAC ID 5395723787, 69 clinicians

Practice addresses (Care Compare)

San Antonio, TX 78255
Phone (210) 455-0167

111 Dallas St
San Antonio, TX 78205-1201
Phone (210) 297-7000

215 E Quincy St
Suite 100
San Antonio, TX 78215-2032
Phone (210) 351-0784

3333 Research PLZ
San Antonio, TX 78235-5154
Phone (210) 297-3780

520 Madison Oak Dr
San Antonio, TX 78258-3913
Phone (210) 297-4000

7930 Floyd Curl Dr
San Antonio, TX 78229-3925
Phone (210) 297-5000

8811 Village Dr
San Antonio, TX 78217-5415
Phone (210) 297-2000

8815 Village Dr
San Antonio, TX 78217-5415
Phone (210) 590-5822

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
82.16
Promoting interoperability
79
Improvement activities
40
Cost
75.98

Merit-based Incentive Payment System (MIPS)

Final score
97.84 of 100Reported as group
Quality
99.37
Improvement activities
40
Cost
80.16

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as group
Quality
60.26
Promoting interoperability
100
Improvement activities
40
Cost
76.75

Merit-based Incentive Payment System (MIPS)

Final score
85.83 of 100Reported as group
Quality
83.33
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.18 of 100Reported as group
Quality
85.58
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME127732FLMDDiagnostic Radiology Physician
L6803TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M&S Radiology Associates, PA CurrentSince Mar 11, 2024 Accepting new patients
VHS San Antonio Imaging Partners, LP Diagnostic Radiology CurrentSince May 27, 2024 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Dec 30, 2023 Accepting new patients
Innovative Radiology PA Diagnostic Radiology CurrentSince May 24, 2016 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Eastpointe Radiologists, PC Diagnostic Radiology Past Accepting new patients
Integris Southwest Associates Past Accepting new patients
VHS San Antonio Partners, LLC Past Accepting new patients
Modified Barium Swallow Service, P.a. Diagnostic Radiology Past Accepting new patients

Locations

L3982
Columbus, OH 43260

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

2130 W Holcombe Blvd
#B
Houston, TX 77030

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

2111 SE Loop 410
San Antonio, TX 78220
Phone (210) 390-8240

215 E Quincy St
Ste 100
San Antonio, TX 78215
Phone (210) 351-0784

6491 Woodlake Pkwy
San Antonio, TX 78244
Phone (210) 622-8220

8715 Village Dr
Ste 320
San Antonio, TX 78217
Phone (210) 656-3109

Networks

  • Freedom Health HMO Network

Organizations & group practices 10

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1912091109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD., STE 1600-RAYS",
            "address_2": "ATTN: RAYS",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75240",
            "telephone_number": "303-933-8270",
            "fax_number": "214-712-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 PORTER SPGS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782554488",
            "telephone_number": "210-392-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKIN",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L6803",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "283387",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME127732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.