JAMES FRANK BOFFA M.D.
NPI 1164433181
Surgery in Chicago, IL

Q: What is James Boffa's NPI number?

The NPI number for James Boffa is 1164433181. It was assigned to this individual provider in the NPPES registry on August 11, 2006. The provider is also known as James Frank Boffa MD.

Q: What is James Boffa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Boffa was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment

93.08/100

CMS Quality Rating

5140 N CALIFORNIA AVE, SUITE 780, CHICAGO, IL 60625(773) 273-6810(773) 271-5532 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About James Frank Boffa M.d. NPPES

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

JAMES FRANK BOFFA M.D. (NPI 1164433181) is an individual surgery provider in Chicago, Illinois, licensed in Illinois (036086529) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Skokie.

NPPES Registry Identity

NPI1164433181

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJAMES FRANK BOFFACredential: M.D.

Location Address5140 N CALIFORNIA AVE, SUITE 780Chicago, IL 60625-3645

Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 570-2040 · Fax (847) 733-5315

Phone(773) 273-6810

Fax(773) 271-5532

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateAugust 11, 2006

Last NPPES UpdateFebruary 10, 2021

NPPES CertifiedFebruary 10, 2021

✔ NPI 1164433181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in IL · 036086529

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.

5140 N CALIFORNIA AVE, Chicago, IL 60625

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Other Names 1

Professional Name (2)James Frank Boffa Md

Secondary Practice Location 1

Location 19650 Gross Point Rd Ste 3900Skokie, IL 60076-5085 · Phone (847) 570-1700 · Fax (847) 982-1098

Other Identifiers 4

Other5077503IL · Aetna

Other0001630046IL · Bc Bs Of Il

Medicaid036086529 2IL

Medicaid036086529 4IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Frank Boffa M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810978020

PECOS Enrollment IDI20060922000073

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show James Boffa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Endeavor Health Medical Group

6.2 mi

Allergy & Immunology

1000 CENTRAL ST
Evanston, IL 60201

Reassigned Medicare billing, Illinois enrollment
4,841 clinicians in this Medicare group

NPI 1497701882 (847) 570-5235

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

66 services66 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

30 services23 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

23 services23 patients

Repair of groin hernia (5 years or older) 49505

Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.

17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60625 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.79

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHATHUSHKI BANDARA DO

Emergency Medicine

5140 N CALIFORNIA AVE
CHICAGO, IL 60625

Cook County (773) 878-8200

PIERCE MICHAEL PATERAKOS

Internal Medicine

5140 N CALIFORNIA AVE
CHICAGO, IL 60625

Cook County (773) 878-8200

DR. VASEEM QURESHI M.D.

Internal Medicine (Nephrology)

5140 N CALIFORNIA AVE, SUITE 700
CHICAGO, IL 60625

Cook County (773) 784-2101

DR. WASAY HUMAYUN M.D.

Family Medicine

5140 N CALIFORNIA AVE, STE 700
CHICAGO, IL 60625

Cook County (773) 784-2101

DR JOSEPH S KIM DPM

Podiatrist (Foot & Ankle Surgery)

5140 N CALIFORNIA AVE, STE 515
CHICAGO, IL 60625

Cook County (773) 989-1699

DR. MORGAN CLEM DO

Hospitalist

5140 N CALIFORNIA AVE
CHICAGO, IL 60625

Cook County (217) 836-1376

LLOYD QUINN YOUNG

Podiatrist (Foot & Ankle Surgery)

5140 N CALIFORNIA AVE
CHICAGO, IL 60625

Cook County (773) 878-8200

SHANNON SIKKILA N.P.

Nurse Practitioner (Adult Health)

5140 N CALIFORNIA AVE
CHICAGO, IL 60625

Cook County (773) 293-4178

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 James Boffa's NPI number?

The NPI number for James Boffa is 1164433181. It was assigned to this individual provider in the NPPES registry on August 11, 2006. The provider is also known as James Frank Boffa MD.

Where is James Boffa located?

James Boffa practices at 5140 N California Ave Suite 780, Chicago, IL 60625. The listed phone number is (773) 273-6810.

What is James Boffa's specialty?

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

Is James Boffa enrolled in Medicare?

Yes. James Boffa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for James Boffa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Boffa reassigns Medicare benefits to Endeavor Health Medical Group (Evanston, IL). The 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 James Boffa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Boffa accept?

Health plans from Oscar Health list James Boffa 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.

Is James Boffa affiliated with any hospitals?

According to CMS data, James Boffa is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for James Boffa was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.