Individual provider Active NPI

Michael John Boros, MD

  • Surgery Physician
  • Traverse City, MI
National Provider Identifier
1942403159
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301082399 Issued in MI
Practice address
3930 Cedar Run Rd
Traverse City, MI 49684-9687
Phone
(231) 935-0390
Fax
(231) 935-0395
NPI assigned
Jun 6, 2007
Last updated
May 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 93514 SC
Surgery Physician 208600000X 4301082399 MI Primary

Addresses

Primary practice location

3930 Cedar Run Rd
Traverse City, MI 49684-9687

Mailing address

3930 Cedar Run Rd
Traverse City, MI 49684-9687
Phone (231) 935-0390

Other practice location 1

222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (803) 329-1234

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.boros@vconm.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100726000848 MI Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Peripheral Vascular Disease 0345373452 Reassigns benefits to 2 organizations
I20250114003220 SC Practitioner - Vascular Surgery 0345373452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery, Peripheral Vascular Disease, Thoracic Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Medical CenterGroup PAC ID 3072426287, shared by 12 NPIs, 377 clinicians

Practice addresses (Care Compare)

3930 Cedar Run Rd
Traverse City, MI 49684-9687
Phone (231) 935-0390

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal24
Leg revascularization (restoring blood flow)39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93514SCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Michigan Vascular Center P.C. Vascular Surgery CurrentSince Jul 1, 2012 Accepting new patients
W.a. Foote Memorial Hospital, Inc Vascular Surgery CurrentSince Jan 27, 2020 Accepting new patients
Piedmont Physician Network LLC Surgery CurrentSince Nov 25, 2024 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Jan 27, 2020 Accepting new patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

300 W Washington Ave
Ste 300
Jackson, MI 49201
Phone (517) 205-1305

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

3930 Cedar Run Rd
Traverse City, MI 49684
Phone (231) 935-0390

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEHFAA
  • Direct secure messaging: mboros609203@direct.hfhs.org
  • Direct secure messaging: michael.boros.1@14929.direct.athenahealth.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 7

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1942403159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 CEDAR RUN RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849687",
            "telephone_number": "231-935-0390",
            "fax_number": "231-935-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 CEDAR RUN RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849687",
            "telephone_number": "231-935-0390",
            "fax_number": "231-935-0395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Herlong Ave S",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321158",
            "country_code": "US",
            "telephone_number": "803-329-1234",
            "fax_number": "803-328-1785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOROS",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "93514",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301082399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.boros@vconm.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3930 Cedar Run Rd",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496849687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.