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LISA KRISTEN BOOHAR MD
NPI 1063403707
Radiology - Radiation Oncology in Redwood City, CA

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
170 ALAMEDA DE LAS PULGAS, REDWOOD CITY, CA 94062(209) 342-2300(209) 524-4240 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa Kristen Boohar Md NPPES

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

LISA KRISTEN BOOHAR MD (NPI 1063403707) is an individual radiation oncology provider in Redwood City, California, licensed in California (A70556) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (1998).

NPPES Registry Identity

NPI1063403707
Entity TypeIndividualFemale
Primary Taxonomy2085R0001X
Provider Legal NameLISA KRISTEN BOOHARCredential: MD
Location Address170 ALAMEDA DE LAS PULGASRedwood City, CA 94062-2751
Mailing Address4301 N Star WayModesto, CA 95356-9262 · (209) 342-2300 · Fax (209) 524-4240
Phone(209) 342-2300
Fax(209) 524-4240
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1998
Enumeration DateNovember 2, 2005
Last NPPES UpdateDecember 17, 2021
✔ NPI 1063403707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in CA · A70556
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
170 ALAMEDA DE LAS PULGAS, Redwood City, CA 94062
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A705560CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Kristen Boohar Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779506233
PECOS Enrollment IDI20060110001184
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa Boohar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Young M D And Boohar M D Inc
Same address
Radiation Oncology
170 ALAMEDA DE LAS PULGAS, SEQUOIA HOSPITAL RADIATION ONCOLOGY DEPT
Redwood City, CA 94062
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1568440881 (209) 342-2300
Permanente Medical Group Inc
1.9 mi
Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1639252604 (650) 299-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94062 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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 20

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

CLIFTON JAMES MARSCHEL CCP
Perfusionist
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA 94062
San Mateo County (650) 369-5811
HELENA KEESOON LEE
Nurse Practitioner (Family)
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA 94062
San Mateo County (650) 369-5811
DR. MELISSA SUSANN LIM M.D.
Internal Medicine (Pulmonary Disease)
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA 94062
San Mateo County (650) 367-5636
SEAN EDWIN BOURKE M.D
Emergency Medicine
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA 94062
San Mateo County (650) 369-5811
SEQUOIA ANESTHESIA CONSULTANTS
Anesthesiology
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA 94062
San Mateo County (650) 367-5700
ROBERT B FISHER M D INC
Anesthesiology
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA 94062
San Mateo County (650) 369-5811
MELISSA MARCELIN
Registered Nurse
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA 94062
San Mateo County (650) 367-5636
DANIEL PARNELL, M.D., INC.
Anesthesiology
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA 94062
San Mateo County (650) 367-5554

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 Lisa Boohar's NPI number?

The NPI number for Lisa Boohar is 1063403707. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Lisa Boohar located?

Lisa Boohar practices at 170 Alameda De Las Pulgas, Redwood City, CA 94062. The listed phone number is (209) 342-2300.

What is Lisa Boohar's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Lisa Boohar enrolled in Medicare?

Yes. Lisa Boohar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lisa Boohar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Boohar reassigns Medicare benefits to 2 organizations: Young M D And Boohar M D Inc (Redwood City, CA) and Permanente Medical Group Inc (Redwood City, CA). 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 Lisa Boohar'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 Lisa Boohar was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.