NPIMap

Individual provider Active NPI

John Kenneth Boyer, M.D.

  • Cardiovascular Disease Physician
  • Columbia, MO
National Provider Identifier
1912999285
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
112968 Issued in MO
Practice address
1605 E Broadway Ste 300
Columbia, MO 65201-8023
Phone
(573) 256-7700
Fax
(573) 256-3003
NPI assigned
Aug 22, 2005
Last updated
Mar 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 112968 MO Primary

Addresses

Primary practice location

1605 E Broadway Ste 300
Columbia, MO 65201-8023

Mailing address

1605 E Broadway
Suite 300
Columbia, MO 65201-8023
Phone (573) 256-7700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.boyer@mcs.direct.gemmsnet.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20040602000714 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2466434642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chas Physician Services LLCGroup PAC ID 7810038064, 25 clinicians

Practice addresses (Care Compare)

1605 E Broadway
Suite 300
Columbia, MO 65201-8023
Phone (573) 256-7700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chas Physician Services, LLC CurrentSince Jan 1, 2011 Accepting new patients
Chas Physician Services LLC Cardiovascular Disease CurrentSince Jan 1, 2011 Accepting new patients
JCMG Ancillary Services, LLC CurrentSince Aug 3, 2018 Accepting new patients
Metro Heart Group of St. Louis, Inc. Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Mercy Clinic Heart and Vascular, LLC Cardiovascular Disease Past Accepting new patients

Locations

130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1600 E Broadway
#C
Columbia, MO 65201

1600 E Broadway
#I
Columbia, MO 65201

1605 E Broadway
Ste 300
Columbia, MO 65201
Phone (573) 256-7700

509 W 18th St
Hermann, MO 65041
Phone (573) 486-2045

404 Providence Rd
Macon, MO 63552
Phone (660) 395-8914

Interoperability endpoints

  • Direct secure messaging: john.boyer@mcs.direct.gemmsnet.com

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1912999285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 E BROADWAY",
            "address_2": "SUITE 300",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018023",
            "telephone_number": "573-256-7700",
            "fax_number": "573-256-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E BROADWAY STE 300",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018023",
            "telephone_number": "573-256-7700",
            "fax_number": "573-256-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "JOHN",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "112968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.boyer@mcs.direct.gemmsnet.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging Address",
            "address_1": "1605 E Broadway Ste 300",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652018023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.