MITCHELL BOEHNKE MD
NPI 1821416769
Radiology - Pediatric Radiology in Colorado Springs, CO

Active since March 28, 2014PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
4090 BRIARGATE PKWY, COLORADO SPRINGS, CO 80920(720) 777-1234 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mitchell Boehnke Md NPPES

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

MITCHELL BOEHNKE MD (NPI 1821416769) is an individual pediatric radiology provider in Colorado Springs, Colorado, licensed in Colorado (DR.0064302) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1821416769
Entity TypeIndividualMale
Primary Taxonomy2085P0229X
Provider Legal NameMITCHELL BOEHNKECredential: MD
Location Address4090 BRIARGATE PKWYColorado Springs, CO 80920-7815
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 28, 2014
Last NPPES UpdateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
✔ NPI 1821416769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
License✔ Licensed in CO · DR.0064302
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
4090 BRIARGATE PKWY, Colorado Springs, CO 80920

Secondary Practice Location 1

Location 1777 Bannock StDenver, CO 80204-4597 · Phone (303) 643-6494 ext. 9 · Fax (303) 602-4168

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mitchell Boehnke 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.

PECOS PAC ID5395041743
PECOS Enrollment IDI20200811001119
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mitchell Boehnke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
4090 BRIARGATE PKWY
Colorado Springs, CO 80920
  • Reassigned Medicare billing, Colorado enrollment
  • 4,283 clinicians in this Medicare group
General Practice
777 BANNOCK ST
Denver, CO 80204
  • Reassigned Medicare billing, Colorado enrollment
  • 2,259 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Anesthesiology (Pediatric Anesthesiology)
4090 BRIARGATE PKWY
COLORADO SPRINGS, CO 80920
Registered Nurse
4090 BRIARGATE PKWY
COLORADO SPRINGS, CO 80920
Social Worker (Clinical)
4090 BRIARGATE PKWY
COLORADO SPRINGS, CO 80920
Psychologist (Clinical Child & Adolescent)
4090 BRIARGATE PKWY
COLORADO SPRINGS, CO 80920
Nurse Practitioner (Neonatal)
4090 BRIARGATE PKWY
COLORADO SPRINGS, CO 80920
Social Worker (Clinical)
4090 BRIARGATE PKWY
COLORADO SPRINGS, CO 80920
Counselor (Professional)
4090 BRIARGATE PKWY
COLORADO SPRINGS, CO 80920
Hospitalist
4090 BRIARGATE PKWY
COLORADO SPRINGS, CO 80920

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 Mitchell Boehnke's NPI number?

The NPI number for Mitchell Boehnke is 1821416769. It was assigned to this individual provider in the NPPES registry on March 28, 2014.

Where is Mitchell Boehnke located?

Mitchell Boehnke practices at 4090 Briargate Pkwy, Colorado Springs, CO 80920. The listed phone number is (720) 777-1234.

What is Mitchell Boehnke's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Mitchell Boehnke enrolled in Medicare?

Yes. Mitchell Boehnke 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.

Which organizations bill Medicare for Mitchell Boehnke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mitchell Boehnke reassigns Medicare benefits to 2 organizations: University Physicians Incorporated (Colorado Springs, CO) and Denver Health And Hospital Authority (Denver, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mitchell Boehnke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mitchell Boehnke accept?

Health plans from Select Health list Mitchell Boehnke 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 Mitchell Boehnke was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.