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BONIFACE SURGICAL ASSOCIATES, LLC
NPI 1164106399
Surgery in Youngstown, OH

Active since June 08, 2023
7600 SOUTHERN BLVD STE 2, YOUNGSTOWN, OH 44512(330) 758-8183 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Boniface Surgical Associates, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONIFACE SURGICAL ASSOCIATES, LLC (NPI 1164106399) is a healthcare organization registered as a surgery in Youngstown, Ohio and active in the NPI registry since June 2023. The organization lists Nicholas Boniface, President, as its authorized official.

NPPES Registry Identity

NPI1164106399
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameBONIFACE SURGICAL ASSOCIATES, LLC
Location Address7600 SOUTHERN BLVD STE 2Youngstown, OH 44512-6085
Mailing Address8042 Camden WayCanfield, OH 44406-8164
Phone(330) 758-8183
Organization SubpartNo
Authorized OfficialNicholas BonifacePresident · (330) 758-8183
Enumeration DateJune 8, 2023
Last NPPES UpdateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
✔ NPI 1164106399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
7600 SOUTHERN BLVD STE 2, Youngstown, OH 44512
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Boniface Surgical Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Boniface Surgical Associates, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nicholas Boniface, MD, MPH
General Surgery
NPI 1992233761
7600 SOUTHERN BLVD STE 2
Youngstown, OH 44512
(234) 367-8181
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boniface Surgical Associates, LLC's NPI number?

The NPI number for Boniface Surgical Associates, LLC is 1164106399. It was assigned to this organization in the NPPES registry on June 8, 2023.

Where is Boniface Surgical Associates, LLC located?

Boniface Surgical Associates, LLC is located at 7600 Southern Blvd Ste 2, Youngstown, OH 44512. The listed phone number is (330) 758-8183.

What is Boniface Surgical Associates, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Boniface Surgical Associates, LLC enrolled in Medicare?

Yes. Boniface Surgical Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boniface Surgical Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Boniface Surgical Associates, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Boniface Surgical Associates, LLC accept?

Health plans from Molina Healthcare list Boniface Surgical Associates, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Boniface Surgical Associates, LLC was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.