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DR. ROGER W. BOE M.D.
NPI 1285797241
Pediatrics - Adolescent Medicine in Pocatello, ID

Active since December 19, 2006PECOS Enrolled
405 W WHITMAN ST, POCATELLO, ID 83204(208) 233-6833 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Roger W. Boe M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROGER W. BOE M.D. (NPI 1285797241) is an individual adolescent medicine provider in Pocatello, Idaho, licensed in Idaho (M2691) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285797241
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. ROGER W. BOECredential: M.D.
Location Address405 W WHITMAN STPocatello, ID 83204-3317
Mailing Address226 S 16th AvePocatello, ID 83201-4003 · (208) 233-5651
Phone(208) 233-6833
Sole ProprietorYes
Enumeration DateDecember 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1285797241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in ID · M2691
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
405 W WHITMAN ST, Pocatello, ID 83204
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Other Identifiers 2

Medicare UPINE04193
Medicare ID-Type Unspecified1111341ID

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. Roger W. Boe M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Roger Boe's NPI number?

The NPI number for Roger Boe is 1285797241. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Roger Boe located?

Roger Boe practices at 405 W Whitman St, Pocatello, ID 83204. The listed phone number is (208) 233-6833.

What is Roger Boe's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Roger Boe enrolled in Medicare?

Yes. Roger Boe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roger Boe was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.