Individual provider Active NPI

Joseph Daniel Boss, M.D.

  • Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
  • Grand Rapids, MI
National Provider Identifier
1912346388
Registry record updated Jan 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Uveitis and Ocular Inflammatory Disease (Ophthalmology) PhysicianTaxonomy code 207WX0108X
License
4301116878 Issued in MI
Practice address
5030 Cascade Rd SE
Grand Rapids, MI 49546-3725
Phone
(616) 954-2020
NPI assigned
Jun 19, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301103584 MI
Retina Specialist (Ophthalmology) Physician 207WX0107X 4301116878 MI
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X 4301116878 MI Primary

Addresses

Primary practice location

5030 Cascade Rd SE
Grand Rapids, MI 49546-3725

Mailing address

5030 Cascade Rd SE
Grand Rapids, MI 49546-3725
Phone (616) 954-2020

Other practice location 1

4717 Saint Antoine St
Detroit, MI 48201-1423
Phone (313) 577-8900

Other practice location 2

6500 Euclid Ave
Cleveland, OH 44195-1423
Phone (216) 444-2020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jboss@rsmi.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190822003246 MI Practitioner - Ophthalmology 3870894470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Michigan State University College of Human Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Specialists of Michigan PCGroup PAC ID 9436211919, 10 clinicians

Practice addresses (Care Compare)

5030 Cascade Rd SE
Grand Rapids, MI 49546-3725
Phone (616) 954-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.36
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301116878MIMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Specialists of Michigan PC Ophthalmology CurrentSince Aug 1, 2019 Accepting new patients
Metropolitan Hospital PastSince Aug 1, 2019 Accepting new patients

Locations

5030 Cascade Rd SE
Grand Rapids, MI 49546
Phone (231) 796-0010

1362 S Point Pl
Ste 120
Holland, MI 49423
Phone (616) 954-2020

950 Trade Centre Way
Ste 110
Portage, MI 49002

Interoperability endpoints

  • Direct secure messaging: jboss@rsmi.intellechartdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611446400000",
    "number": "1912346388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 CASCADE RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463725",
            "telephone_number": "616-954-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CASCADE RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463725",
            "telephone_number": "616-954-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4717 Saint Antoine St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482011423",
            "country_code": "US",
            "telephone_number": "313-577-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441951423",
            "country_code": "US",
            "telephone_number": "216-444-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSS",
        "first_name": "JOSEPH",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301103584",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MI",
            "license": "4301116878",
            "primary": false
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "MI",
            "license": "4301116878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jboss@rsmi.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Grand Rapids",
            "address_1": "5030 Cascade Rd SE",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495463725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.