Individual provider Active NPI

Ruben D Boyajian, MD

  • Surgery Physician
  • Effingham, IL
National Provider Identifier
1912917188
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036054426 Issued in IL
Practice address
900 West Temple Avenue
Building B - Suite 2500
Effingham, IL 62401-2193
Phone
(217) 347-2255
Fax
(217) 342-6910
NPI assigned
Aug 9, 2006
Last updated
Dec 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036054426 IL Primary

Addresses

Primary practice location

900 West Temple Avenue
Building B - Suite 2500
Effingham, IL 62401-2193

Mailing address

900 West Temple Avenue
Building B - Suite 2500
Effingham, IL 62401-2193
Phone (217) 347-2255

Other identifiers 1

IdentifierTypeStateIssuer
036054426MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rboyajian158719@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20100917000676 IL Practitioner - General Surgery 1658374772 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Effingham, IL

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Practice addresses (Care Compare)

900 W Temple Ave
Effingham, IL 62401-2121
Phone (217) 540-2350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy33
Hernia repair - groin (open)1-10
Mastectomy23
Upper gastrointestinal (GI) endoscopy for acid reflux16
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036054426ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Medical Group Inc CurrentSince Sep 1, 2023 Accepting new patients
SJL Health Systems Inc CurrentSince Sep 1, 2023 Accepting new patients
HSHS Medical Group Inc Current Accepting new patients
HSHS Medical Group Inc Past Accepting new patients
Esa SC Surgery Past Accepting new patients
Ruben Boyajian, MD Surgery PastSince Jan 1, 2013 Accepting new patients

Locations

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121

900 W Temple Ave
Effingham, IL 62401
Phone (217) 347-5525

900 W Temple Ave
Bldg B
Effingham, IL 62401
Phone (217) 347-2255

900 W Temple Ave
Ste 101
Effingham, IL 62401
Phone (217) 347-1777

900 W Temple Ave
Ste 2500
Effingham, IL 62401
Phone (217) 347-2255

904 Medical Park Dr
Ste 2
Effingham, IL 62401
Phone (217) 347-2255

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 6

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 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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1912917188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WEST TEMPLE AVENUE",
            "address_2": "BUILDING B - SUITE 2500",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012193",
            "telephone_number": "217-347-2255",
            "fax_number": "217-342-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WEST TEMPLE AVENUE",
            "address_2": "BUILDING B - SUITE 2500",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012193",
            "telephone_number": "217-347-2255",
            "fax_number": "217-342-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYAJIAN",
        "first_name": "RUBEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036054426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036054426",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rboyajian158719@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "900 West Temple Avenue",
            "address_2": "Building B - Suite 2500",
            "city": "Effingham",
            "state": "IL",
            "country_code": "US",
            "postal_code": "624012193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.