KAITLIN BOEHM DO
NPI 1033573522
Pediatrics - Pediatric Emergency Medicine in Mineola, NY

Q: 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.

Q: What is Kaitlin Boehm's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: 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.

Active since April 11, 2016PECOS Enrolled

259 1ST ST, MINEOLA, NY 11501(516) 663-8766 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 20, 2022, Dec 16, 2019 (2 updates tracked since 2019).

On this page

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

NPI1033573522

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameKAITLIN BOEHMCredential: DO

Location Address259 1ST STMineola, NY 11501-3957

Mailing Address259 1st StMineola, NY 11501-3957 · (516) 663-8766

Phone(516) 663-8766

Sole ProprietorNo

Enumeration DateApril 11, 2016

Last NPPES UpdateDecember 28, 20232 updates tracked since enumeration

NPPES CertifiedDecember 28, 2023

✔ NPI 1033573522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in NY · 297765

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

259 1ST ST, Mineola, NY 11501

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Other Names 1

Former Name (1)Kaitlin Keenan Do

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlin Boehm Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

LINDSY MILLER M.D.

Anesthesiology

259 1ST ST
MINEOLA, NY 11501

Nassau County (516) 741-0570

GINA CARUCCI

Physician Assistant (Medical)

259 1ST ST
MINEOLA, NY 11501

Nassau County (516) 663-0333

DR. CHRISTIAN GIGANTE MD

Student in an Organized Health Care Education/Training Program

259 1ST ST
MINEOLA, NY 11501

Nassau County (516) 663-8794

CHRISTOPHER PETILLO

Student in an Organized Health Care Education/Training Program

259 1ST ST
MINEOLA, NY 11501

Nassau County (516) 663-0333

JOHN ANTHONY DINELLI MD

Student in an Organized Health Care Education/Training Program

259 1ST ST
MINEOLA, NY 11501

Nassau County (516) 663-0333

MANISHA SAKORE MD

Pediatrics (Neonatal-Perinatal Medicine)

259 1ST ST
MINEOLA, NY 11501

Nassau County (516) 663-3853

DR. LAWRENCE SCHEINBERG M.D.

Anesthesiology

259 1ST ST
MINEOLA, NY 11501

Nassau County (516) 663-0333

DR. KIM ANN RUTHERFORD M.D.

Pediatrics (Pediatric Emergency Medicine)

259 1ST ST
MINEOLA, NY 11501

Nassau County (717) 531-8955

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.

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.