BENJAMIN DAVID BOODT MD
NPI 1780212514
Emergency Medicine in Emeryville, CA
About Benjamin David Boodt Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN DAVID BOODT MD (NPI 1780212514) is an individual emergency medicine provider in Emeryville, California, licensed in Indiana (01088947A) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Kokomo, and maintains a secondary practice location in Kettering.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Benjamin David Boodt Md 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St Vincent Kokomo
Acute Care Hospitals · Kokomo, INAscension St Vincent Hospital
Acute Care Hospitals · Indianapolis, INAscension St Vincent Carmel
Acute Care Hospitals · Carmel, INAscension St Vincent Fishers
Acute Care Hospitals · Fishers, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
EMERYVILLE, CA 94608
EMERYVILLE, CA 94608
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 Benjamin Boodt's NPI number?
The NPI number for Benjamin Boodt is 1780212514. It was assigned to this individual provider in the NPPES registry on March 28, 2020.
Where is Benjamin Boodt located?
Benjamin Boodt practices at 2100 Powell St Ste 400, Emeryville, CA 94608. The listed phone number is (510) 350-2600.
What is Benjamin Boodt's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Benjamin Boodt enrolled in Medicare?
Yes. Benjamin Boodt 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.
Is Benjamin Boodt affiliated with any hospitals?
According to CMS data, Benjamin Boodt is affiliated with Ascension St Vincent Kokomo, Ascension St Vincent Hospital, Ascension St Vincent Carmel and Ascension St Vincent Fishers.
When was this NPI record last updated?
The NPPES record for Benjamin Boodt was last updated on June 30, 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.
# Benjamin David Boodt, MD · NPI 1780212514
Emergency Medicine physician in Emeryville, California. Individual provider, active in the CMS NPPES registry since March 28, 2020.
## Identity
- **NPI:** 1780212514 (Entity type: Individual)
- **Enumerated:** March 28, 2020
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 01088947A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2100 POWELL ST STE 400, Emeryville, CA 94608-1872
- **Phone:** (510) 350-2600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Indiana University School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** June 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1780212514) · Data from the CMS NPPES public registry.