DR. SOAMES FITZPATRICK BOYLE M.D
NPI 1205031010
Student in an Organized Health Care Education/Training Program in San Diego, CA
About Dr. Soames Fitzpatrick Boyle M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SOAMES FITZPATRICK BOYLE M.D (NPI 1205031010) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Kaiser Sunnyside Medical Center, and is a graduate of University Of Southern California Keck School Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Dr. Soames Fitzpatrick Boyle M.d 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.
Medicare Billing Reassignment
Medicare enrollment records show Soames Boyle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salem, OR 97317
- Reassigned Medicare billing, Oregon and Washington enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1871848457 (Washington)
- 3,207 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kaiser Sunnyside Medical Center
Acute Care Hospitals · Clackamas, OROther 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
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 Soames Boyle's NPI number?
The NPI number for Soames Boyle is 1205031010. It was assigned to this individual provider in the NPPES registry on June 20, 2007.
Where is Soames Boyle located?
Soames Boyle practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (619) 543-1849.
What is Soames Boyle's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Soames Boyle enrolled in Medicare?
Yes. Soames Boyle 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 organization bills Medicare for Soames Boyle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Soames Boyle reassigns Medicare benefits to South Salem Rehabilitation, LLC (Salem, OR). 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 Soames Boyle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Soames Boyle accept?
Health plans from Kaiser Permanente list Soames Boyle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Soames Boyle affiliated with any hospitals?
According to CMS data, Soames Boyle is affiliated with Kaiser Sunnyside Medical Center.
When was this NPI record last updated?
The NPPES record for Soames Boyle was last updated on February 4, 2022. 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.
# Dr. Soames Fitzpatrick Boyle, M.D · NPI 1205031010
Student in an Organized Health Care Education/Training Program provider in San Diego, California. Individual provider, active in the CMS NPPES registry since June 20, 2007.
## Identity
- **NPI:** 1205031010 (Entity type: Individual)
- **Enumerated:** June 20, 2007
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 200 W ARBOR DR, San Diego, CA 92103-9000
- **Phone:** (619) 543-1849
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** South Salem Rehabilitation, LLC (NPI 1215071998, Salem, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 2007
## Record status
- **NPPES last updated:** February 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1205031010) · Data from the CMS NPPES public registry.