DR. LYNELLE M. BOAMAH MD
NPI 1144437328
Pediatrics - Pediatric Gastroenterology in San Diego, CA

Active since May 17, 2007PECOS Enrolled
3030 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 966-4003 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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

NPI1144437328
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameDR. LYNELLE M. BOAMAHCredential: MD
Location Address3030 CHILDRENS WAYSan Diego, CA 92123-4232
Mailing Address3020 Childrens Way, Mc5003San Diego, CA 92123-4223 · (858) 309-6300
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1995
Enumeration DateMay 17, 2007
Last NPPES UpdateSeptember 16, 2025
NPPES CertifiedSeptember 16, 2025
NPI 1144437328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License Licensed in CA · C204195
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License C204195 (CA)
3030 CHILDRENS WAY, San Diego, CA 92123

Other Names 1

Former Name (1)Lynelle M. Roberts

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Lynelle M. Boamah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355827056
PECOS Enrollment IDI20260113001076
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 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.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
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.

Allergy & Immunology
3030 CHILDRENS WAY
SAN DIEGO, CA 92123
Orthopaedic Surgery
3030 CHILDRENS WAY
SAN DIEGO, CA 92123
Orthopaedic Surgery
3030 CHILDRENS WAY, SUITE 410
SAN DIEGO, CA 92123
Ophthalmology
3030 CHILDRENS WAY, SUITE 109
SAN DIEGO, CA 92123
Pediatrics (Pediatric Gastroenterology)
3030 CHILDRENS WAY
SAN DIEGO, CA 92123
Pediatrics
3030 CHILDRENS WAY, SUITE 213
SAN DIEGO, CA 92123
Orthopaedic Surgery
3030 CHILDRENS WAY, SUITE 410
SAN DIEGO, CA 92123
Nurse Practitioner (Pediatrics)
3030 CHILDRENS WAY, STE 410
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.

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 11 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.