NPIMap

Individual provider Active NPI

Nicholas Chapman Boniface, MD, MPH

  • Surgery Physician
  • Youngstown, OH
National Provider Identifier
1992233761
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35.136025 Issued in OH
Practice address
7600 Southern Blvd Ste 2
Youngstown, OH 44512-6085
Phone
(234) 367-8181
Fax
(614) 591-3981
NPI assigned
May 24, 2017
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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 35.136025 OH Primary
Trauma Surgery Physician 2086S0127X MD482959 PA

Addresses

Primary practice location

7600 Southern Blvd Ste 2
Youngstown, OH 44512-6085

Mailing address

7600 Southern Blvd Ste 2
Youngstown, OH 44512-6085
Phone (330) 758-8183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230629000580 OH Practitioner - General Surgery 9931479052 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Northeastern Ohio University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Valley Physicians LLCGroup PAC ID 3971506932, 56 clinicians

Practice addresses (Care Compare)

425 W 5TH St
FL 1
East Liverpool, OH 43920-2405
Phone (330) 386-5870

7600 Southern Blvd
Boardman, OH 44512-6085
Phone (330) 774-1778

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.89 of 100Reported as group
Quality
65.8
Promoting interoperability
100
Improvement activities
40
Cost
73.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux16
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Surgery CurrentSince Aug 22, 2023 Accepting new patients
North East Ohio Group Practice LLC CurrentSince Jun 15, 2023 Accepting new patients
Boniface Surgical Associates, LLC Surgery CurrentSince Oct 13, 2023 Accepting new patients
The Metrohealth System Current Accepting new patients
River Valley Physicians, LLC CurrentSince Mar 18, 2024 Accepting new patients
The Metrohealth System CurrentSince Aug 22, 2023 Accepting new patients
Openloop Healthcare Partners PC Past Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

15655 State Route 170
Ste B
East Liverpool, OH 43920
Phone (330) 386-3610

15655 State Route 170
Ste H
East Liverpool, OH 43920
Phone (330) 932-0183

205 W 6th St
East Liverpool, OH 43920
Phone (330) 385-6566

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

425 W 5th St
Fl 1
East Liverpool, OH 43920
Phone (330) 386-5870

139 N Walnut St
East Palestine, OH 44413
Phone (330) 362-4920

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

7600 Southern Blvd
Ste 2
Youngstown, OH 44512
Phone (330) 758-3985

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBJFBA
  • Direct secure messaging: nboniface1144837@direct.trinity-health.org
  • Direct secure messaging: nboniface222258@direct.metrohealth.org

Organizations & group practices 8

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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1992233761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 SOUTHERN BLVD STE 2",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126085",
            "telephone_number": "330-758-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 SOUTHERN BLVD STE 2",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126085",
            "telephone_number": "234-367-8181",
            "fax_number": "614-591-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONIFACE",
        "first_name": "NICHOLAS",
        "middle_name": "CHAPMAN",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-24",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.136025",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "PA",
            "license": "MD482959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.