ALEXANDER BOIKOV (M.D.) – Diagnostic Radiology Physician, NPI 1255772323

ALEXANDER BOIKOV (M.D.) is a healthcare provider. based in Grosse pointe woods, Michigan. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301103084 (MI). The NPI Number for ALEXANDER BOIKOV (M.D.) is 1255772323

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDER BOIKOV (M.D.)
NPI
1255772323
Phone
Not provided
Address
19251 MACK AVE
Enumeration Date
17 July 2013
Last Update Date
3 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4073319355
Graduation Year
2010 (16 years ago)
PAC ID
7719220508
Group Practice PAC ID
4981912169
Professional Enrollment ID
I20240718004975
Address ID
FL327014402AL398XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

1,650 DIAGNOSTIC RADIOLOGY in MI

Provider Addresses for ALEXANDER BOIKOV (M.D.)

  • 19251 MACK AVE

    SUITE 340

    GROSSE POINTE WOODS, MI 482362893

    Phone:

    Type: Mailing

  • 19251 Mack Ave

    Suite 340

    Grosse Pointe Woods, MI 482362893

    Phone: (313) 343-7843

    Type: Location

  • 1400 S ORANGE AVE

    ORLANDO, FL 328062134

    Phone: (321) 843-8010

    Fax: (321) 843-6330

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190517002061IDiagnostic RadiologyMITBD
I20240718004975IDiagnostic RadiologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77067Screening mammography588588$0
77063Screening 3d breast mammography427427$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)106106$0
77065Diagnostic mammography of 1 breast9291$0
76642Limited ultrasound scan of 1 breast5353$0
View full utilization report →

Insurance plans in this area (ZIP 48236)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981912169View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyCA
Diagnostic Radiology, Interventional RadiologyNY
Diagnostic Radiology, Nuclear MedicineFL
-FL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyWA

Reviews

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Frequently asked questions

Can I use this page to confirm ALEXANDER BOIKOV (M.D.)'s NPI?
Yes. ALEXANDER BOIKOV (M.D.) is listed with NPI 1255772323 in the public NPI dataset.
Does CMS list ALEXANDER BOIKOV (M.D.) as active?
Yes — ALEXANDER BOIKOV (M.D.) is active in the NPI listing used on this page.
What is ALEXANDER BOIKOV (M.D.)'s specialty?
The listing groups ALEXANDER BOIKOV (M.D.) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for ALEXANDER BOIKOV (M.D.)?
ALEXANDER BOIKOV (M.D.)'s geographic hint is Grosse Pointe Woods, Michigan in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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