DR. LYNELLE M. BOAMAH MD
NPI 1144437328
Pediatrics - Pediatric Gastroenterology in San Diego, CA
About Dr. Lynelle M. Boamah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LYNELLE M. BOAMAH MD (NPI 1144437328) is an individual pediatric gastroenterology provider in San Diego, California, licensed in California (C204195) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses 2
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)
Dr. Lynelle M. Boamah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lynelle Boamah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 562 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 92123
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 Lynelle Boamah's NPI number?
The NPI number for Lynelle Boamah is 1144437328. It was assigned to this individual provider in the NPPES registry on May 17, 2007. The provider is also known as Lynelle M. Roberts.
Where is Lynelle Boamah located?
Lynelle Boamah practices at 3030 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-4003.
What is Lynelle Boamah's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.
Is Lynelle Boamah enrolled in Medicare?
Yes. Lynelle Boamah is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lynelle Boamah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lynelle Boamah reassigns Medicare benefits to Rady Children's Hospital San Diego (San Diego, CA). The 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 Lynelle Boamah'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 Lynelle Boamah was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Lynelle M. Boamah, MD · NPI 1144437328
Pediatric Gastroenterology physician in San Diego, California. Individual provider, active in the CMS NPPES registry since May 17, 2007.
## Identity
- **NPI:** 1144437328 (Entity type: Individual)
- **Enumerated:** May 17, 2007
- **Primary specialty:** Pediatrics - Pediatric Gastroenterology · taxonomy 2080P0206X
- **State license:** C204195 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3030 CHILDRENS WAY, San Diego, CA 92123-4232
- **Phone:** (858) 966-4003
## 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:** Rady Children's Hospital San Diego (NPI 1669617197, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Maryland School Of Medicine, class of 1995
## Record status
- **NPPES last updated:** September 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1144437328) · Data from the CMS NPPES public registry.