KAITLIN BOEHM DO
NPI 1033573522
Pediatrics - Pediatric Emergency Medicine in Mineola, NY
About Kaitlin Boehm Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLIN BOEHM DO (NPI 1033573522) is an individual pediatric emergency medicine provider in Mineola, New York, licensed in New York (297765) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kaitlin Boehm Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kaitlin Boehm reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bronx, NY 10456
- Reassigned Medicare billing, New York enrollment
- 795 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINEOLA, NY 11501
MINEOLA, NY 11501
MINEOLA, NY 11501
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kaitlin Boehm's NPI number?
The NPI number for Kaitlin Boehm is 1033573522. It was assigned to this individual provider in the NPPES registry on April 11, 2016. The provider is also known as Kaitlin Keenan Do.
Where is Kaitlin Boehm located?
Kaitlin Boehm practices at 259 1st St, Mineola, NY 11501. The listed phone number is (516) 663-8766.
What is Kaitlin Boehm's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Kaitlin Boehm enrolled in Medicare?
Yes. Kaitlin Boehm is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kaitlin Boehm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlin Boehm reassigns Medicare benefits to 2 organizations: Bronxcare Health System (Bronx, NY) and New York University (Boynton Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaitlin Boehm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kaitlin Boehm was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Kaitlin Boehm, DO · NPI 1033573522
Pediatric Emergency Medicine physician in Mineola, New York. Individual provider, active in the CMS NPPES registry since April 11, 2016.
## Identity
- **NPI:** 1033573522 (Entity type: Individual)
- **Enumerated:** April 11, 2016
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** 297765 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 259 1ST ST, Mineola, NY 11501-3957
- **Phone:** (516) 663-8766
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Bronxcare Health System (NPI 1073806519, Bronx, NY); New York University (NPI 1285826438, Boynton Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1033573522) · Data from the CMS NPPES public registry.