AUSTIN HENRY BOOTS
NPI 1518628411
Student in an Organized Health Care Education/Training Program in Wyandotte, MI

Active since January 04, 2022PECOS Enrolled
2333 BIDDLE AVE, WYANDOTTE, MI 48192(734) 246-6000 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 20, 2025, May 27, 2025, Jan 4, 2022 (3 updates tracked since 2022).

About Austin Henry Boots NPPES

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

AUSTIN HENRY BOOTS (NPI 1518628411) is an individual student in an organized health care education/training program in Wyandotte, Michigan, licensed in (4351055159) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518628411
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAUSTIN HENRY BOOTS
Location Address2333 BIDDLE AVEWyandotte, MI 48192-4668
Mailing Address3625 Briarmont Ave Apt 208Columbia, MO 65201-3680 · (573) 915-2733
Sole ProprietorNo
Enumeration DateJanuary 4, 2022
Last NPPES UpdateJune 20, 20253 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
NPI 1518628411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed · 4351055159
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.
2333 BIDDLE AVE, Wyandotte, MI 48192

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Austin Henry Boots 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.

Podiatrist (Foot & Ankle Surgery)
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Emergency Medicine
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Emergency Medicine
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Obstetrics & Gynecology
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Internal Medicine
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Surgery
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Obstetrics & Gynecology
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Student in an Organized Health Care Education/Training Program
2333 BIDDLE AVE
WYANDOTTE, MI 48192

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 Austin Boots's NPI number?

The NPI number for Austin Boots is 1518628411. It was assigned to this individual provider in the NPPES registry on January 4, 2022.

Where is Austin Boots located?

Austin Boots practices at 2333 Biddle Ave, Wyandotte, MI 48192. The listed phone number is (734) 246-6000.

What is Austin Boots's specialty?

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

Is Austin Boots enrolled in Medicare?

Yes. Austin Boots is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Austin Boots was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.