MR. DEREK JONATHAN BOYD M.D.
NPI 1174936959
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Derek Boyd's NPI number?

The NPI number for Derek Boyd is 1174936959. It was assigned to this individual provider in the NPPES registry on June 9, 2014.

Q: What is Derek Boyd's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Boyd was last updated on April 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 09, 2014PECOS Enrolled

261 MACK AVE, SUITE 840, DETROIT, MI 48201(313) 745-9880(313) 745-1063 Get Directions Write a Review

NPPES record last updated: April 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Derek Jonathan Boyd M.d. NPPES

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

MR. DEREK JONATHAN BOYD M.D. (NPI 1174936959) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174936959

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. DEREK JONATHAN BOYDCredential: M.D.

Location Address261 MACK AVE, SUITE 840Detroit, MI 48201

Mailing Address261 Mack Ave, Suite 840Detroit, MI 48201 · (313) 745-9880 · Fax (313) 745-1063

Phone(313) 745-9880

Fax(313) 745-1063

Sole ProprietorNo

Enumeration DateJune 9, 2014

Last NPPES UpdateApril 1, 2016

✔ NPI 1174936959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

261 MACK AVE, Detroit, MI 48201

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Derek Jonathan Boyd 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.

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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.

HANNAH MCKEE-BOYES PT, DPT

Physical Therapist