Individual provider Active NPI

Boris Temkin

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1982290557
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-14229 Issued in NC
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

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240612000074 NC Practitioner - Physician Assistant 8729478813 Reassigns benefits to 3 organizations
I20251222000149 VA Practitioner - Physician Assistant 8729478813 Reassigns benefits to 1 organization

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
DRX High Point PLLCGroup PAC ID 7113061730, 48 clinicians
Roanoke Valley Healthcare Partners LLCGroup PAC ID 0143490326, 53 clinicians

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 100Reported as group
Quality
65.78
Improvement activities
40
Cost
76.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-14229NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Roanoke Valley Healthcare Partners, LLC CurrentSince Nov 3, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 14, 2026 Accepting new patients
Fastmed Primary Care, P.C. Past Accepting new patients
Blue Ridge Healthcare Partners, LLC PastSince Nov 3, 2025 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.

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

Verify at the official NPI Registry.