Individual provider Active NPI

James Scott Boal, M.D.

  • Family Medicine Physician
  • Livonia, MI
National Provider Identifier
1992703672
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301070040 Issued in MI
Practice address
14100 Newburgh Rd
Livonia, MI 48154-5010
Phone
(734) 464-7810
Fax
(734) 779-4601
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301070040 MI Primary

Addresses

Primary practice location

14100 Newburgh Rd
Livonia, MI 48154-5010

Mailing address

14100 Newburgh Rd
Livonia, MI 48154-5010
Phone (734) 464-7810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040217000310 MI Practitioner - Family PracticePractitioner - Hospice/Palliative CarePractitioner - Other (Physician) 9335034677 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Hospice Home Care, Inc. Family Medicine CurrentSince Sep 1, 2008 Accepting new patients

Locations

14100 Newburgh Rd
Livonia, MI 48154
Phone (734) 464-7810

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lourdes Rehabilitation & Healthcare CenterWaterford, MI, CCN 235252 Skilled nursing facility Corporate Director Nov 1, 2024
Angela Hospice Home Care, Inc.Livonia, MI, CCN 231527 Hospice Corporate Director Jul 1, 2000

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992703672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 NEWBURGH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545010",
            "telephone_number": "734-464-7810",
            "fax_number": "734-779-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 NEWBURGH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545010",
            "telephone_number": "734-464-7810",
            "fax_number": "734-779-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAL",
        "first_name": "JAMES",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301070040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.