RYAN JACOB BOETTGER DPM
NPI 1104492974
Podiatrist - Foot & Ankle Surgery in San Diego, CA
About Ryan Jacob Boettger Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN JACOB BOETTGER DPM (NPI 1104492974) is an individual foot & ankle surgery provider in San Diego, California, licensed in California (E6115) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Ryan Jacob Boettger Dpm 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.
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.
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
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 Ryan Boettger's NPI number?
The NPI number for Ryan Boettger is 1104492974. It was assigned to this individual provider in the NPPES registry on June 1, 2021.
Where is Ryan Boettger located?
Ryan Boettger practices at 4077 Fifth Ave # Mer-35, San Diego, CA 92103. The listed phone number is (619) 260-7220.
What is Ryan Boettger's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Ryan Boettger enrolled in Medicare?
Yes. Ryan Boettger 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.
When was this NPI record last updated?
The NPPES record for Ryan Boettger was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Ryan Jacob Boettger, DPM · NPI 1104492974
Foot & Ankle Surgery provider in San Diego, California. Individual provider, active in the CMS NPPES registry since June 1, 2021.
## Identity
- **NPI:** 1104492974 (Entity type: Individual)
- **Enumerated:** June 1, 2021
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** E6115 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4077 FIFTH AVE # MER-35, San Diego, CA 92103-2105
- **Phone:** (619) 260-7220
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** February 18, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1104492974) · Data from the CMS NPPES public registry.