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DR. BRIAN MITCHELL BOVILLE M.D.
NPI 1902863871
Pediatrics - Pediatric Critical Care Medicine in Grand Rapids, MI

Active since April 26, 2006PECOS Enrolled
100/100
CMS Quality Rating
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 267-0118(616) 267-0090 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 4, 2025, Feb 26, 2021, Feb 14, 2020 (3 updates tracked since 2020).

About Dr. Brian Mitchell Boville M.d. NPPES

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

DR. BRIAN MITCHELL BOVILLE M.D. (NPI 1902863871) is an individual pediatric critical care medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301100059) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902863871
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. BRIAN MITCHELL BOVILLECredential: M.D.
Location Address100 MICHIGAN ST NEGrand Rapids, MI 49503-2560
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Phone(616) 267-0118
Fax(616) 267-0090
Sole ProprietorNo
Enumeration DateApril 26, 2006
Last NPPES UpdateJune 4, 20253 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1902863871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in MI · 4301100059
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedAnesthesiology · Critical Care MedicineTaxonomy 207LC0200X · License 4301100059 (MI)
Also ListedPediatricsTaxonomy 208000000X · License 4301100059 (MI)
100 MICHIGAN ST NE, Grand Rapids, MI 49503
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Other Identifiers 1

Medicaid1902863871MI

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. Brian Mitchell Boville 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 Billing Reassignments

2

Medicare enrollment records show Brian Boville reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spectrum Health Hospitals
0.1 mi
Hospitalist
100 MICHIGAN ST NE, MC-907
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 405 clinicians in this Medicare group
NPI 1558407189 (616) 774-7377
Spectrum Health Primary Care Partners
0.1 mi
Hospitalist
100 MICHIGAN ST NE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1790093763 (616) 391-3139

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

MAUREEN TAN PEDRES M.D.
Internal Medicine
100 MICHIGAN ST NE, SUITE A721
GRAND RAPIDS, MI 49503
Kent County (616) 391-3139
MATTHEW H ARMSTRONG MD
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1510
ALINE DE QUADROS TEIXEIRA MD
Internal Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-3139
DR. LINDSEY DANIELLE CONRADO PT, DPT
Physical Therapist
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (161) 639-1177
DANIEL H. ROBINSON D.O.
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1510
MARK GREENWOOD DO
Emergency Medicine
100 MICHIGAN ST NE, MC 71
GRAND RAPIDS, MI 49503
Kent County (616) 391-5310
RAYMOND SCUREK MD
Emergency Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1680
MRS. RACHEL LEIGH VANSTRIEN PA-C
Physician Assistant
100 MICHIGAN ST NE, SUITE 8861
GRAND RAPIDS, MI 49503
Kent County (616) 391-0800

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 Brian Boville's NPI number?

The NPI number for Brian Boville is 1902863871. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Brian Boville located?

Brian Boville practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 267-0118.

What is Brian Boville's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Brian Boville enrolled in Medicare?

Yes. Brian Boville is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brian Boville's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Boville reassigns Medicare benefits to 2 organizations: Spectrum Health Hospitals (Grand Rapids, MI) and Spectrum Health Primary Care Partners (Grand Rapids, MI). 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 Brian Boville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Boville accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Brian Boville 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.

When was this NPI record last updated?

The NPPES record for Brian Boville was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.