DR. JOHN ELLIOTT BOCCACCIO M.D.
NPI 1164463758
Specialist in Grosse Pointe Woods, MI
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
Specialties & Licenses
Other Identifiers 1
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).
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
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.
GROSSE POINTE WOODS, MI 48236
GROSSE POINTE WOODS, MI 48236
GROSSE POINTE, MI 48236
GROSSE POINTE WOODS, MI 48236
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.