Individual provider Active NPI

William M Boushka, MD

  • Diagnostic Radiology Physician
  • El Paso, TX
National Provider Identifier
1073549879
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
J0750 Issued in TX
Practice address
6065 Montana Ave
BLDG a Ste 6
El Paso, TX 79925-1835
Phone
(915) 881-1900
Fax
(915) 771-9345
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X J0750 TX Primary

Addresses

Primary practice location

6065 Montana Ave
BLDG a Ste 6
El Paso, TX 79925-1835

Mailing address

3850 Foothills Rd
Ste 9
Las Cruces, NM 88011-4632
Phone (505) 532-8800

Other practice location 1

3100 N Lee Trevino Dr Ste B
El Paso, TX 79936-2116
Phone (915) 533-7465

Other practice location 2

181 Village Ct Ste A1
El Paso, TX 79922-1082
Phone (915) 881-1900

Other practice location 3

1426 George Dieter Dr
El Paso, TX 79936-7601
Phone (915) 881-1900

Other identifiers 1

IdentifierTypeStateIssuer
044859901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050225000102 TX Practitioner - Diagnostic Radiology 5092768473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at San Antonio, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Outpatient Imaging Partnership LTDGroup PAC ID 5698729044, 13 clinicians

Practice addresses (Care Compare)

6065 Montana Ave
Suite A6
El Paso, TX 79925-1837
Phone (915) 881-1900

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
78.29
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Outpatient Imaging Partnership LTD Diagnostic Radiology CurrentSince Feb 1, 1999 Accepting new patients
Outpatient Imaging PastSince Feb 1, 1999 Accepting new patients

Locations

181 Village Ct
Ste A1
El Paso, TX 79922

6065 Montana Ave
Ste A6
El Paso, TX 79925
Phone (505) 532-8800

1426 George Dieter Dr
El Paso, TX 79936

3100 N Lee Trevino Dr
Ste B
El Paso, TX 79936
Phone (915) 843-4776

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1073549879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 FOOTHILLS RD",
            "address_2": "STE 9",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114632",
            "telephone_number": "505-532-8800",
            "fax_number": "505-532-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 MONTANA AVE",
            "address_2": "BLDG A STE 6",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251835",
            "telephone_number": "915-881-1900",
            "fax_number": "915-771-9345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 N Lee Trevino Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799362116",
            "country_code": "US",
            "telephone_number": "915-533-7465",
            "fax_number": "706-596-6723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "181 Village Ct Ste A1",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799221082",
            "country_code": "US",
            "telephone_number": "915-881-1900",
            "fax_number": "706-596-6723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1426 George Dieter Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799367601",
            "country_code": "US",
            "telephone_number": "915-881-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUSHKA",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J0750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044859901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.