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ANDREW BOAL MD, PHD
NPI 1659129542
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since May 07, 2024PECOS Enrolled
1000 WALL ST, ANN ARBOR, MI 48105(734) 763-8122 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2025, May 7, 2024 (2 updates tracked since 2024).

About Andrew Boal Md, Phd NPPES

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

ANDREW BOAL MD, PHD (NPI 1659129542) is an individual student in an organized health care education/training program in Ann Arbor, Michigan and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659129542
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDREW BOALCredential: MD, PHD
Location Address1000 WALL STAnn Arbor, MI 48105-1912
Mailing Address1000 Wall StAnn Arbor, MI 48105-1912 · (734) 998-2020
Phone(734) 763-8122
Sole ProprietorNo
Enumeration DateMay 7, 2024
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1659129542 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.
1000 WALL ST, Ann Arbor, MI 48105
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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)

Andrew Boal Md, Phd 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.

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.

SHERRY H DAY OD
Optometrist
1000 WALL ST
ANN ARBOR, MI 48105
Washtenaw County (734) 764-4190
MONTE ANTHONY DELMONTE MD
Ophthalmology
1000 WALL ST
ANN ARBOR, MI 48105
Washtenaw County (734) 764-4190
MATTHEW DRIBAN MD
Student in an Organized Health Care Education/Training Program
1000 WALL ST
ANN ARBOR, MI 48105
Washtenaw County (734) 763-8122
CHERIE A FARKASH OD
Optometrist
1000 WALL ST
ANN ARBOR, MI 48105
Washtenaw County (734) 764-4190
BRITTANY A SIMMONS M.D.
Ophthalmology
1000 WALL ST
ANN ARBOR, MI 48105
Washtenaw County (734) 764-4190
ALEXANDER DOMINIC VALENTINE MD
Ophthalmology
1000 WALL ST
ANN ARBOR, MI 48105
Washtenaw County (734) 764-4190
CYNTHIA JIANG HODSON MD
Ophthalmology
1000 WALL ST
ANN ARBOR, MI 48105
Washtenaw County (734) 764-4190
SEAN OWEN HANSEN MD
Ophthalmology
1000 WALL ST
ANN ARBOR, MI 48105
Washtenaw County (734) 764-4190

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 Andrew Boal's NPI number?

The NPI number for Andrew Boal is 1659129542. It was assigned to this individual provider in the NPPES registry on May 7, 2024.

Where is Andrew Boal located?

Andrew Boal practices at 1000 Wall St, Ann Arbor, MI 48105. The listed phone number is (734) 763-8122.

What is Andrew Boal's specialty?

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

Is Andrew Boal enrolled in Medicare?

Yes. Andrew Boal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Boal was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.