Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JOHN ELLIOTT BOCCACCIO M.D.
NPI 1164463758
Specialist in Grosse Pointe Woods, MI

Active since June 08, 2006PECOS Enrolled
19229 MACK AVE, SUITE 38, GROSSE POINTE WOODS, MI 48236(313) 885-1520(313) 885-1740 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Elliott Boccaccio M.d. NPPES

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

DR. JOHN ELLIOTT BOCCACCIO M.D. (NPI 1164463758) is an individual specialist in Grosse Pointe Woods, Michigan, licensed in Michigan (4301047282) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164463758
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JOHN ELLIOTT BOCCACCIOCredential: M.D.
Location Address19229 MACK AVE, SUITE 38Grosse Pointe Woods, MI 48236-2858
Mailing Address19229 Mack Ave, Suite 38Grosse Pointe Woods, MI 48236-2858 · (313) 885-1520 · Fax (313) 885-1740
Fax(313) 885-1740
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1164463758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MI · 4301047282
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
19229 MACK AVE, Grosse Pointe Woods, MI 48236

Other Identifiers 1

Medicaid2583645MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. John Elliott Boccaccio M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
46%61 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
35%80 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
50%144 patients3/55-star benchmark: 85%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%235 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
69%357 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
88%357 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
38%357 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
32%357 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Radiology (Radiation Oncology)
19229 MACK AVE, SUITE 10
GROSSE POINTE WOODS, MI 48236
Internal Medicine (Hematology & Oncology)
19229 MACK AVE, SUITE 34
GROSSE POINTE WOODS, MI 48236
Internal Medicine (Hematology & Oncology)
19229 MACK AVE, SUITE 23
GROSSE POINTE WOODS, MI 48236
Physician Assistant (Medical)
19229 MACK AVE, SUITE 24
GROSSE POINTE, MI 48236
Genetic Counselor, MS
19229 MACK AVE, SUITE 18
GROSSE POINTE WOODS, MI 48236
Internal Medicine (Hematology & Oncology)
19229 MACK AVE, 24
GROSSE POINTE WOODS, MI 48236
Surgery
19229 MACK AVE, STE 34
GROSSE POINTE WOODS, MI 48236
Radiology (Radiation Oncology)
19229 MACK AVE, SUITE 10
GROSSE POINTE WOODS, MI 48236

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 John Boccaccio's NPI number?

The NPI number for John Boccaccio is 1164463758. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is John Boccaccio located?

John Boccaccio practices at 19229 Mack Ave Suite 38, Grosse Pointe Woods, MI 48236. The listed phone number is (313) 885-1520.

What is John Boccaccio's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is John Boccaccio enrolled in Medicare?

Yes. John Boccaccio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Boccaccio was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.