REBECCA J BOSCALJON MD
NPI 1023095379
Pediatrics in Las Vegas, NV

Q: What is Rebecca Boscaljon's NPI number?

The NPI number for Rebecca Boscaljon is 1023095379. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Q: What is Rebecca Boscaljon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Boscaljon was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since December 28, 2005PECOS Enrolled

3201 S MARYLAND PKWY STE 608, LAS VEGAS, NV 89109(702) 457-5437(702) 464-5801 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2025, Oct 18, 2022 (2 updates tracked since 2022).

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About Rebecca J Boscaljon Md NPPES

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

REBECCA J BOSCALJON MD (NPI 1023095379) is an individual pediatrics provider in Las Vegas, Nevada, licensed in Nevada (23439) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Henderson, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1023095379

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameREBECCA J BOSCALJONCredential: MD

Location Address3201 S MARYLAND PKWY STE 608Las Vegas, NV 89109-2428

Mailing Address3201 S Maryland Pkwy Ste 608Las Vegas, NV 89109-2428 · (702) 457-5437 · Fax (702) 464-5801

Phone(702) 457-5437

Fax(702) 464-5801

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateDecember 28, 2005

Last NPPES UpdateDecember 8, 20252 updates tracked since enumeration

NPPES CertifiedDecember 8, 2025

✔ NPI 1023095379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NV · 23439

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3201 S MARYLAND PKWY STE 608, Las Vegas, NV 89109

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Secondary Practice Location 1

Location 1880 Seven Hills Dr Ste 100Henderson, NV 89052-4372 · Phone (702) 457-5437

Other Identifiers 2

Medicaid250031450NV

Medicaid0464974IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca J Boscaljon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971524471

PECOS Enrollment IDI20251216005064

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SORA SONG MD

Pediatrics