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LISA BOUCEK M.D.
NPI 1720498975
Pediatrics - Adolescent Medicine in Scottsdale, AZ

Active since April 28, 2014PECOS Enrolled
21807 N SCOTTSDALE RD, SCOTTSDALE, AZ 85255(480) 860-8488(480) 860-8498 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Boucek M.d. NPPES

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

LISA BOUCEK M.D. (NPI 1720498975) is an individual adolescent medicine provider in Scottsdale, Arizona, licensed in Arizona (54432) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1720498975
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameLISA BOUCEKCredential: M.D.
Location Address21807 N SCOTTSDALE RDScottsdale, AZ 85255
Mailing Address9827 N 95th St Ste 105Scottsdale, AZ 85258-4591 · (480) 860-8488
Phone(480) 860-8488
Fax(480) 860-8498
Sole ProprietorNo
Enumeration DateApril 28, 2014
Last NPPES UpdateJuly 18, 2019
✔ NPI 1720498975 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 AZ · 54432
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.
21807 N SCOTTSDALE RD, Scottsdale, AZ 85255
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Secondary Practice Location 1

Location 11919 E Thomas Rd, Phoenix Children's HospitalPhoenix, AZ 85016-7710 · Phone (602) 546-2923

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Boucek 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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHERRY PATRICIA POTTGEN M.D.
Pediatrics
21807 N SCOTTSDALE RD
SCOTTSDALE, AZ 85255
Maricopa County (480) 425-8488
TYLER DIRVONAS MD
Pediatrics
21807 N SCOTTSDALE RD
SCOTTSDALE, AZ 85255
Maricopa County (480) 860-8488
DR. ALICE CHIEH JU SPEED MD
Pediatrics
21807 N SCOTTSDALE RD
SCOTTSDALE, AZ 85255
Maricopa County (480) 860-8488
ADRIENNE GOLDBERG KURLAND M.D.
Pediatrics
21807 N SCOTTSDALE RD
SCOTTSDALE, AZ 85255
Maricopa County (480) 860-8488
GOOD NIGHT PEDIATRICS EAST VALLEY PC
Clinic/Center (Urgent Care)
21807 N SCOTTSDALE RD
SCOTTSDALE, AZ 85255
Maricopa County (480) 237-5740
JENNIFER MICHELLE CROPP MD
Pediatrics (Adolescent Medicine)
21807 N SCOTTSDALE RD
SCOTTSDALE, AZ 85255
Maricopa County (480) 860-8488
ERIN KEELY LANPHIER PH.D.
Psychologist (Clinical Child & Adolescent)
21807 N SCOTTSDALE RD
SCOTTSDALE, AZ 85255
Maricopa County (480) 222-1575

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 Lisa Boucek's NPI number?

The NPI number for Lisa Boucek is 1720498975. It was assigned to this individual provider in the NPPES registry on April 28, 2014.

Where is Lisa Boucek located?

Lisa Boucek practices at 21807 N Scottsdale Rd, Scottsdale, AZ 85255. The listed phone number is (480) 860-8488.

What is Lisa Boucek's specialty?

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

Is Lisa Boucek enrolled in Medicare?

Yes. Lisa Boucek is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Boucek accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Lisa Boucek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Boucek was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.