1. Home
  2. Directory
  3. Ohio
  4. Cleveland
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

BLAKE AUSTIN BOEHM
NPI 1326746447
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Active since February 17, 2023PECOS Enrolled
11100 EUCLID AVE, CLEVELAND, OH 44106(484) 274-0399 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blake Austin Boehm NPPES

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

BLAKE AUSTIN BOEHM (NPI 1326746447) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326746447
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBLAKE AUSTIN BOEHM
Location Address11100 EUCLID AVECleveland, OH 44106-1716
Mailing Address11100 Euclid AveCleveland, OH 44106-1716
Phone(484) 274-0399
Sole ProprietorNo
Enumeration DateFebruary 17, 2023
NPPES CertifiedFebruary 17, 2023
✔ NPI 1326746447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11100 EUCLID AVE, Cleveland, OH 44106
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blake Austin Boehm 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.

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.

DR. YU HYON KIM MD
Ophthalmology
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-3601
JENNIFER LYNN PARRY RN, CPNP
Nurse Practitioner (Pediatrics)
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 983-5691
RAINBOW BABIES & CHILDREN'S HOSPITAL
General Acute Care Hospital (Children)
11100 EUCLID AVE, RBC 637
CLEVELAND, OH 44106
Cuyahoga County (216) 983-5261
DR. KA CHUN ALAN CHAN M.D
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Cuyahoga County (216) 844-1000
DR. CHOR CHEUNG TAM M.D.
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Cuyahoga County (216) 333-8948
DOMINIC CERCONE
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-1000
DR. CHRISTOPHER FELCHLIA MD
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-2273
GABRIELLA MARGUERITE RUSTIA MD
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-8570

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 Blake Boehm's NPI number?

The NPI number for Blake Boehm is 1326746447. It was assigned to this individual provider in the NPPES registry on February 17, 2023.

Where is Blake Boehm located?

Blake Boehm practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (484) 274-0399.

What is Blake Boehm's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Blake Boehm enrolled in Medicare?

Yes. Blake Boehm is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Blake Boehm was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.