James Burdette Boyes, RPAC
Individual provider Active NPI Physician Assistant · De Soto, KS
NPI 1962570713 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962570713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1500466 (KS)
- Practice address
- 33490 Lexington Avenue
De Soto, KS 66018 - Phone
- (913) 583-1179
- Fax
- (913) 583-3667
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Shawnee Mission Medical Center Inc
Practice addresses (Care Compare)
9301 W 74TH St
100 Ahmg Hematology Oncology at Shawnee
Merriam, KS 66204-2217
Phone (913) 632-9100
Hospital & facility affiliations
- Adventhealth Home Health
- Adventhealth Shawnee Mission
- LMH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070625000714 | KS | Practitioner - Physician Assistant | 5193713774 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 466 | KS | MD | Addiction (Substance Use Disorder) Counselor |
| 1500466 | KS | MD | Physician Assistant |
Interoperability endpoints
- jboyes1189231@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1500466 | KS | Yes |
Addresses
Primary practice location
33490 Lexington Avenue
De Soto, KS 66018
Mailing address
6815 Hilltop Rd
Ste 100
Shawnee, KS 66226
Phone (913) 422-2020
Other providers in De Soto, KS
- A Brighter Day, Inc.
- Advanced Resolution Care LLC
- Edward Jermaine Anderson
- Nana Amma Asante
- Biodesix, Inc.
- Henry Wesley Brame Jr.
- Central Medical Laboratory, LLC
- Desoto Family Practice, LLC
- Desoto Usd 232
- William Dolan
All providers in De Soto, KS · Physician Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.