DOUGLAS K. BOEHM MD – NPI #1215923172
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

DOUGLAS BOEHM is a physician located in SAINT PAUL, MN. NPPES has assigned the NPI number 1215923172 to DOUGLAS BOEHM on September 26, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 7 years ago on Feb 07, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DOUGLAS BOEHM below.

NPI Profile for
DOUGLAS K. BOEHM

NPI Number
1215923172
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DOUGLAS K. BOEHM
Credentials
MD
Primary location
640 JACKSON ST
SAINT PAUL, MN 55101
Phone: (651) 254-4887 Fax:
2 Other location(s):
777 Hospital Way Bldg A
Ste. 101
Pocatello, ID 83201-2753
Phone: (208) 234-2001
Fax: (208) 232-2195
400 Burdick Expy E
Minot, ND 58701-4768
Phone: (701) 857-7840
Mailing address
8170 33RD AVE S # MS 21110Q
MINNEAPOLIS, MN 55425-4516
Phone: (651) 254-4887 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for DOUGLAS BOEHM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDID003605800
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
MN 65012

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices
Affiliations
DOUGLAS BOEHM is affiliated with the following medical group(s):
  • HOSPITAL
    • ST JAMES HEALTHCARE
      400 S CLARK ST
      BUTTE, MT 59701

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.