Doctor profile · Federal record
Dr. Boni Koithara, NP
Family Nurse Practitioner (CMS: Nurse Practitioner) · Detroit, MI
- NPI 1629746813
- Accepts Medicare
- MIPS 71.7 / 100 · 2023
- 6 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
311 Mack Ave
Detroit, MI 482012466
(313) 745-3000
Credentials & registration
- NPI registered
- September 2021 — 5 yrs on file
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Michigan #4704237388
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1629746813. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$49
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zoll Services LLC (A/K/A Zoll LifeCor Corp) | 2 | $28.64 | |
| Cardiva Medical, INC. | 1 | $20.25 |
By nature of payment
Frequently asked questions
What is Dr. Boni Koithara's medical specialty?
Dr. Boni Koithara practices Family Nurse Practitioner in Detroit, MI.
Where does Dr. Boni Koithara practice?
Dr. Boni Koithara practices at 311 Mack Ave, Detroit, MI 482012466. Office phone: 3137453000.
What is Dr. Boni Koithara's NPI?
Dr. Boni Koithara's National Provider Identifier (NPI) is 1629746813, issued by NPPES.
Does Dr. Boni Koithara accept Medicare assignment?
Yes. Dr. Boni Koithara accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.