NPI Details
Charles K. Boley is an internal medicine in Washington, IL with 23 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Charles K. Boley NPI is 1912126640. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2003
The provider's business location address is:
10 SAINT CLARE CT STE 100
WASHINGTON, IL
ZIP 61571-239
Phone: (309) 886-4000
Fax: (309) 886-4118
The NPI 1912126640 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Anticoagulant management of patient taking warfarin (HCPCS:93793)
- Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
- Blood test, clotting time (HCPCS:85610)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
- Fee covid-19 vac 13 res (HCPCS:0124A)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
- Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
- Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
- Urinalysis, manual test (HCPCS:81002)
- Transitional care management services for problem of moderate complexity (HCPCS:99495)
- Destruction of skin growth, 1-14 growths (HCPCS:17110)
The enumeration date for this NPI number is 4/24/2007 and was last updated on 6/6/2008.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 208000000X | Pediatrics | | 036-115574 | ILLINOIS | No |
| 2 | 207R00000X | Internal Medicine | | 036-115574 | ILLINOIS | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | R01112 PONTIAC | MEDICARE PIN | | |
| 2 | P00401636 | OTHER | | RR MEDICARE |
| 3 | 036115574 | MEDICAID | ILLINOIS | |
| 4 | CA4079 | OTHER | | RR GROUP |
| 5 | K38877 | MEDICARE PIN | ILLINOIS | |
| 6 | 833230 | OTHER | | 833230 - PONTIAC GROUP # |
| 7 | 809840 | MEDICARE ID-TYPE UNSPECIFIED | ILLINOIS | GROUP # |
