Active NPI
Ruben D Boyajian, MD
- Surgery Physician
- Effingham, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036054426
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036054426 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 69.5
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 33 |
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 23 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 16 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036054426 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HSHS Medical Group Inc | Current | Accepting new patients | |
| SJL Health Systems Inc | Current | 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 | Past | 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.
-
- Nurse Practitioner
- Effingham, IL
- NPI 1073943890
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.
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1962644807
-
- Surgery Physician
- Effingham, IL
- NPI 1912334558
-
dba HSHS Medical Group Family Medicine - Dieterich
- Rural Health Clinic/Center
- Dieterich, IL
- NPI 1033841192
-
dba Prairie Rose Health Care Center
- Skilled Nursing Facility
- Pana, IL
- NPI 1215037353
-
- Rural Health Clinic/Center
- Rushville, IL
- NPI 1487719480
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Anthony's Memorial Hospital
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
dba St. Anthony's Memorial Hospitral
- Clinic/Center
- Effingham, IL
- NPI 1881214104
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.