DR. FRANK BOATENG M.D
NPI 1609025527
Internal Medicine - Nephrology in Newark, OH

Q: What is Frank Boateng's NPI number?

The NPI number for Frank Boateng is 1609025527. It was assigned to this individual provider in the NPPES registry on September 16, 2008.

Q: What is Frank Boateng's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Frank Boateng was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 September 16, 2008PECOS Enrolled

97.58/100

CMS Quality Rating

1406 DICKERSON ST, NEWARK, OH 43055(740) 915-7475 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 9, 2025, Dec 7, 2022, Sep 22, 2021 and 2 more (5 updates tracked since 2016).

On this page

About Dr. Frank Boateng M.d NPPES

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

DR. FRANK BOATENG M.D (NPI 1609025527) is an individual nephrology provider in Newark, Ohio, licensed in Indiana (01070752A) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1609025527

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. FRANK BOATENGCredential: M.D

Location Address1406 DICKERSON STNewark, OH 43055-1844

Mailing Address1406 Dickerson StNewark, OH 43055-1844 · (917) 826-2914

Phone(740) 915-7475

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateSeptember 16, 2008

Last NPPES UpdateJanuary 9, 20255 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2025

✔ NPI 1609025527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in IN · 01070752A

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 01070752A (IN)

Also ListedHospitalistTaxonomy 208M00000X · License 35.092242 (OH)

1406 DICKERSON ST, Newark, OH 43055

Open in Google Maps ↗

Other Identifiers 3

Medicaid201116850IN

Medicaid0412042OH

OtherH666213OH · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Frank Boateng M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719169713

PECOS Enrollment IDI20200408002101

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 Reassignments

Medicare enrollment records show Frank Boateng reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Kidney & Hypertension Specialists LLC

Same address

Nephrology

1406 DICKERSON ST
Newark, OH 43055

Reassigned Medicare billing, Ohio enrollment
6 clinicians in this Medicare group

NPI 1821695826 (917) 926-2914

Licking Memorial Professional Corporation

0.3 mi

Anatomic Pathology & Clinical Pathology

1320 W MAIN ST
Newark, OH 43055

Reassigned Medicare billing, Ohio enrollment
Medicare enrollment name: Licking Memorial Health Professionals
280 clinicians in this Medicare group

NPI 1932186053 (740) 348-4266

Select Specialty Hospital - Zanesville Inc

0.8 mi

Hospitalist

2000 TAMARACK RD, 2ND FLOOR
Newark, OH 43055

Reassigned Medicare billing, Ohio enrollment
13 clinicians in this Medicare group

NPI 1598204398 (717) 972-1100

Ohiohealth Corporation

21 mi

Thoracic Surgery (Cardiothoracic Vascular Surgery)

85 MCNAUGHTEN RD STE 110
Columbus, OH 43213

Reassigned Medicare billing, Ohio enrollment
3,314 clinicians in this Medicare group

NPI 1265627301 (614) 856-9100

Hospitalist Medicine Physicians Of Ohio, Professional Corporation

21 mi

Internal Medicine

6001 E BROAD ST
Columbus, OH 43213

Reassigned Medicare billing, Ohio enrollment
776 clinicians in this Medicare group

NPI 1043572290 (614) 234-7535

Nephrology Consultants Of Southeastern Ohio, Inc.

24 mi

Nephrology

3089 MAPLE AVE
Zanesville, OH 43701

Reassigned Medicare billing, Ohio enrollment
8 clinicians in this Medicare group

NPI 1730284563 (740) 450-3400

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 20

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.

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

897 services54 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

755 services259 patients

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

428 services30 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

422 services55 patients

Dialysis services, per day, less than full month service (20 years or older) 90970

Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.

328 services15 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

215 services37 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

198 services37 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

145 services108 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

139 services127 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

120 services68 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

95 services82 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

91 services21 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.

87 services68 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

58 services19 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

46 services36 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

43 services24 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

14 services11 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.

12 services11 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360006

Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County

Emergency services Birthing friendly

Genesis Hospital

Acute Care Hospitals · Zanesville, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360039

Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County

Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number360085

Location410 West 10th AvenueColumbus, OH 43210 · Franklin County

Emergency services Birthing friendly

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360218

Location1320 West Main StreetNewark, OH 43055 · Licking County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

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.

97.58/100

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

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier17 claims765 services$0.32 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier11 claims660 services$0.20 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

1 supplier16 claims16 services$12.61 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

PROVIDENCE KIDNEY & HYPERTENSION SPECIALISTS LLC

Internal Medicine (Nephrology)

1406 DICKERSON ST
NEWARK, OH 43055

Licking County (917) 926-2914

ASHLEY FOWLER NP

Nurse Practitioner

1406 DICKERSON ST
NEWARK, OH 43055

Licking County (740) 915-7475

HAMILTON CHIROPRACTIC CENTER, LLC

Chiropractor

1406 DICKERSON ST
NEWARK, OH 43055

Licking County (740) 344-6808

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 Frank Boateng's NPI number?

The NPI number for Frank Boateng is 1609025527. It was assigned to this individual provider in the NPPES registry on September 16, 2008.

Where is Frank Boateng located?

Frank Boateng practices at 1406 Dickerson St, Newark, OH 43055. The listed phone number is (740) 915-7475.

What is Frank Boateng's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Frank Boateng enrolled in Medicare?

Yes. Frank Boateng is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Frank Boateng's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Frank Boateng reassigns Medicare benefits to 6 organizations: Providence Kidney & Hypertension Specialists LLC (Newark, OH), Licking Memorial Professional Corporation (Newark, OH), Select Specialty Hospital - Zanesville Inc (Newark, OH), Ohiohealth Corporation (Columbus, OH), Hospitalist Medicine Physicians Of Ohio, Professional Corporation (Columbus, OH) and 1 more organization, listed in the Medicare section above. Each 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 Frank Boateng's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Frank Boateng accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 5 other insurers list Frank Boateng 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 Frank Boateng affiliated with any hospitals?

According to CMS data, Frank Boateng is affiliated with Riverside Methodist Hospital, Genesis Hospital, Ohio State University State Health System and Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Frank Boateng was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.