SUE BOO DO
NPI 1306422761
Radiology - Diagnostic Radiology in Las Vegas, NV

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment
3100 N TENAYA WAY, GRADUATE MEDICAL EDUCATION, LAS VEGAS, NV 89128(301) 655-3838 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2026, Mar 24, 2021 (2 updates tracked since 2021).

About Sue Boo Do NPPES

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

SUE BOO DO (NPI 1306422761) is an individual diagnostic radiology provider in Las Vegas, Nevada, licensed in Utah (14277086-1204) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1306422761
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameSUE BOOCredential: DO
Location Address3100 N TENAYA WAY, GRADUATE MEDICAL EDUCATIONLas Vegas, NV 89128-0436
Mailing Address3100 N Tenaya Way, Graduate Medical EducationLas Vegas, NV 89128-0436
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 24, 2021
Last NPPES UpdateMay 19, 20262 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1306422761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in UT · 14277086-1204
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3100 N TENAYA WAY, Las Vegas, NV 89128

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

Sue Boo Do 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.

PECOS PAC ID4688077126
PECOS Enrollment IDI20260608002477
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.

Medicare Billing Reassignment

Medicare enrollment records show Sue Boo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neurology
175 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 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 89128 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
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.

Emergency Medicine
3100 N TENAYA WAY
LAS VEGAS, NV 89128
Student in an Organized Health Care Education/Training Program
3100 N TENAYA WAY
LAS VEGAS, NV 89128
Hospitalist
3100 N TENAYA WAY
LAS VEGAS, NV 89128
Radiology (Diagnostic Radiology)
3100 N TENAYA WAY
LAS VEGAS, NV 89128
General Acute Care Hospital
3100 N TENAYA WAY
LAS VEGAS, NV 89128
Student in an Organized Health Care Education/Training Program
3100 N TENAYA WAY
LAS VEGAS, NV 89128
Anesthesiology
3100 N TENAYA WAY, GRADUATE MEDICAL EDUCATION LAS VEGAS
LAS VEGAS, NV 89128
Student in an Organized Health Care Education/Training Program
3100 N TENAYA WAY
LAS VEGAS, NV 89128

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 Sue Boo's NPI number?

The NPI number for Sue Boo is 1306422761. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Sue Boo located?

Sue Boo practices at 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128. The listed phone number is (301) 655-3838.

What is Sue Boo's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Sue Boo enrolled in Medicare?

Yes. Sue Boo 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 Sue Boo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sue Boo reassigns Medicare benefits to University Of Utah Adult Services (Salt Lake City, UT). 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 Sue Boo'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 Sue Boo was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.