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DAVID HENRY BOEDEKER
NPI 1548859804
General Practice in Bethesda, MD

Active since January 12, 2021PECOS Enrolled
4494 NORTH PALMER ROAD, BETHESDA, MD 20889(402) 213-3106 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2024, Jan 12, 2021 (2 updates tracked since 2021).

About David Henry Boedeker NPPES

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

DAVID HENRY BOEDEKER (NPI 1548859804) is an individual general practice provider in Bethesda, Maryland, licensed in Virginia (0102207378) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548859804
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDAVID HENRY BOEDEKER
Location Address4494 NORTH PALMER ROADBethesda, MD 20889-0001
Mailing Address4494 North Palmer RoadBethesda, MD 20889-0001 · (402) 213-3106
Phone(402) 213-3106
Sole ProprietorYes
Enumeration DateJanuary 12, 2021
Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1548859804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0102207378
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4494 NORTH PALMER ROAD, Bethesda, MD 20889
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Henry Boedeker 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.

NATALIE HARRELL SCHNEIDERMAN CF-SLP
Speech-Language Pathologist
4494 NORTH PALMER ROAD
BETHESDA, MD 20889
Montgomery County (301) 295-4864
TAHLER DIANE BANDARRA
General Practice
4494 NORTH PALMER ROAD
BETHESDA, MD 20889
Montgomery County (301) 295-4440
JANICE LEE
Pharmacist
4494 NORTH PALMER ROAD
BETHESDA, MD 20889
Montgomery County (301) 295-4000
DR. SENNAY GHENBOT MD
Student in an Organized Health Care Education/Training Program
4494 NORTH PALMER ROAD
BETHESDA, MD 20889
Montgomery County (301) 295-4000
THOMAS MICHAEL DEPIETRO DO
Student in an Organized Health Care Education/Training Program
4494 NORTH PALMER ROAD
BETHESDA, MD 20889
Montgomery County (800) 526-7101
DR. CORY GEOGHEGAN DO
Anesthesiology
4494 NORTH PALMER ROAD
BETHESDA, MD 20889
Montgomery County (301) 295-4455
DR. MIN KI HONG DO
Internal Medicine
4494 NORTH PALMER ROAD
BETHESDA, MD 20889
Montgomery County (855) 227-6331
ABENA GREEN MD
Military Health Care Provider
4494 NORTH PALMER ROAD
BETHESDA, MD 20889
Montgomery County (301) 295-4000

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 David Boedeker's NPI number?

The NPI number for David Boedeker is 1548859804. It was assigned to this individual provider in the NPPES registry on January 12, 2021.

Where is David Boedeker located?

David Boedeker practices at 4494 North Palmer Road, Bethesda, MD 20889. The listed phone number is (402) 213-3106.

What is David Boedeker's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is David Boedeker enrolled in Medicare?

Yes. David Boedeker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Boedeker was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.