Rebecca J Boscaljon, MD
Individual provider Active NPI Pediatrics Physician · Las Vegas, NV
NPI 1023095379 · NPPES record last updated Dec 8, 2025
Key facts
- NPI
- 1023095379
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 23439 (NV)
- Practice address
- 3201 S Maryland Pkwy Ste 608
Las Vegas, NV 89109-2428 - Phone
- (702) 457-5437
- Fax
- (702) 464-5801
- NPI assigned
- Dec 28, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
101 W County Line Rd
Suite 230
Highlands Ranch, CO 80129-1903
PO Box
Los Angeles, CA 90084
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251216005064 | NV | Practitioner - Pediatric Medicine | 3971524471 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23439 | NV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harold Zilberman M D CHTD | Pediatrics | Current |
Accepting new patients |
| Sunrise Hospital and Medical Center, LLC | Past | Accepting new patients | |
| State University of Iowa | Past |
Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
880 Seven Hills Dr
Ste 100
Henderson, NV 89052
Phone (702) 457-5437
3201 S Maryland Pkwy
Ste 608
Las Vegas, NV 89109
Phone (702) 457-5437
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BDJEAA/Endpoint/BDJEAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 23439 | NV | Yes |
Addresses
Primary practice location
3201 S Maryland Pkwy Ste 608
Las Vegas, NV 89109-2428
Mailing address
3201 S Maryland Pkwy Ste 608
Las Vegas, NV 89109-2428
Phone (702) 457-5437
Other practice location 1
880 Seven Hills Dr Ste 100
Henderson, NV 89052-4372
Phone (702) 457-5437
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250031450 | Medicaid | NV | |
| 0464974 | Medicaid | IA |
Other providers in Las Vegas, NV
- Meira Borsody
- Tiffany Borum
- Aaliyah Evelyn Borunda Jaquez
- Miriam Borvick
- Holly Bosak
- Dayana Bosch Sahagun
- Jessica Lynn Bosch
- Kristopher David Bosch
- Kimberly Boschee
- Sharise Bose
All providers in Las Vegas, NV · Pediatrics Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.