Active NPI
Boris Temkin
- Physician Assistant
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-14229
- Practice address
- 6500 Creedmoor Rd Ste 110
Raleigh, NC 27613-3698 - Phone
- (919) 825-4000
- Fax
- (919) 846-7255
- NPI assigned
- Dec 17, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 027709 | NY | |
| Medical Physician Assistant | 363AM0700X | 0010-14229 | NC | |
| Physician Assistant | 363A00000X | 0010-14229 | NC | Primary |
Addresses
Primary practice location
6500 Creedmoor Rd Ste 110
Raleigh, NC 27613-3698
Mailing address
304 Genesee St
Chittenango, NY 13037-1707
Phone (315) 687-6467
Other practice location 1
304 Genesee St
Chittenango, NY 13037-1707
Phone (315) 687-6467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1231 Eastchester Dr
High Point, NC 27265-3102
Phone (336) 884-4050
2913 Wake Forest Rd
Raleigh, NC 27609-7841
Phone (919) 899-4000
348 S College Rd
Suite a
Wilmington, NC 28403-1632
Phone (910) 769-8080
602 Brandon Ave SW
Suite 222
Roanoke, VA 24015-3212
Phone (540) 774-0000
6400 Fayetteville Rd
Durham, NC 27713-6178
Phone (919) 551-2000
7851 Alexander Promenade PL
Suite 130
Raleigh, NC 27617-1921
Phone (843) 222-4455
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.09 of 100
- Quality
- 65.78
- Improvement activities
- 40
- Cost
- 76.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-14229 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roanoke Valley Healthcare Partners, LLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Fastmed Primary Care, P.C. | Past | Accepting new patients | |
| Blue Ridge Healthcare Partners, LLC | Past | Accepting new patients |
Locations
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
602 Brandon Ave SW
Ste 222
Roanoke, VA 24015
Phone (540) 774-0000
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1619274446
-
- Multi-Specialty Clinic/Center
- High Point, NC
- NPI 1669701306
-
- Family Medicine Physician
- Durham, NC
- NPI 1629841788
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1912774423
-
- Primary Care Clinic/Center
- Roanoke, VA
- NPI 1518304955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1982290557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 GENESEE ST",
"city": "CHITTENANGO",
"state": "NY",
"postal_code": "130371707",
"telephone_number": "315-687-6467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 CREEDMOOR RD STE 110",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276133698",
"telephone_number": "919-825-4000",
"fax_number": "919-846-7255"
}
],
"practiceLocations": [
{
"address_1": "304 Genesee St",
"address_purpose": "LOCATION",
"city": "Chittenango",
"state": "NY",
"postal_code": "130371707",
"country_code": "US",
"telephone_number": "315-687-6467",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEMKIN",
"first_name": "BORIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-17",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "027709",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "0010-14229",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-14229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.