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REGIS BOUDREAU DPM LLC
NPI 1922468511
Podiatrist in Carlisle, MA

Active since February 25, 2016
1159 NORTH RD, CARLISLE, MA 01741(617) 244-3831(617) 244-5203 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 13, 2025, Mar 27, 2017, Jan 5, 2017 and 1 more (4 updates tracked since 2016).

About Regis Boudreau Dpm Llc NPPES

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

REGIS BOUDREAU DPM LLC (NPI 1922468511) is a healthcare organization registered as a podiatrist in Carlisle, Massachusetts and active in the NPI registry since February 2016. The organization lists Regis Joseph Boudreau, Owner, as its authorized official.

NPPES Registry Identity

NPI1922468511
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameREGIS BOUDREAU DPM LLC
Location Address1159 NORTH RDCarlisle, MA 01741-1245
Mailing Address1159 North RdCarlisle, MA 01741-1245 · (617) 244-3831 · Fax (617) 244-5203
Phone(617) 244-3831
Fax(617) 244-5203
Organization SubpartNo
Authorized OfficialRegis Joseph BoudreauOwner · (617) 244-3831
Enumeration DateFebruary 25, 2016
Last NPPES UpdateFebruary 13, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1922468511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1159 NORTH RD, Carlisle, MA 01741
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Regis Boudreau Dpm Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Regis Boudreau DPM LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Regis Boudreau, DPM
Podiatry
NPI 1992875744
1159 NORTH RD
Carlisle, MA 01741
(617) 244-3831
✔ PECOSSame address

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

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 Regis Boudreau Dpm LLC's NPI number?

The NPI number for Regis Boudreau Dpm LLC is 1922468511. It was assigned to this organization in the NPPES registry on February 25, 2016.

Where is Regis Boudreau Dpm LLC located?

Regis Boudreau Dpm LLC is located at 1159 North Rd, Carlisle, MA 01741. The listed phone number is (617) 244-3831.

What is Regis Boudreau Dpm LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Regis Boudreau Dpm LLC enrolled in Medicare?

Yes. Regis Boudreau Dpm LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Regis Boudreau Dpm LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Regis Boudreau Dpm LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Regis Boudreau Dpm LLC was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.