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

Q: 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.

Q: What is Lisa Boohar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Boohar was last updated on December 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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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

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Other Identifiers 1

Medicaid00A705560CA

Medicare Participation & PECOS CMS

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

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.

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.

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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