Mark Arden Boettler, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35057004 Issued in OH

Practice address

8100 N Main St
Dayton, OH 45415-1702

Phone

(937) 974-0652

Fax

(937) 372-1254

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Internal Medicine

Education

University of Cincinnati College of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Five Rivers Health CentersGroup PAC ID 9335300904, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
• Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.boettler.1@15657.direct.athenahealth.com

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.

• Five Rivers Health Centers

  • Family Medicine Physician
  • Dayton, OH
  • NPI 1669143061

  OH

  Medicare reassignment Care Compare group
• Five Rivers Health Centers

  • Family Medicine Physician
  • Dayton, OH
  • NPI 1053600775
  NPD
• Five Rivers Health Centers

  • Family Medicine Physician
  • Xenia, OH
  • NPI 1083501415
  NPD
• Dermatology Associates of Ohio, LLC

  • Dermatology Physician
  • Dayton, OH
  • NPI 1386706125
  NPD (past)
• Medical Service Associates of Xenia Inc

  • Family Medicine Physician
  • Xenia, OH
  • NPI 1982600862
  NPD (past)
• Stillwater Center

  • Intellectual Disabilities Intermediate Care Facility
  • Dayton, OH
  • NPI 1801930748
  NPD (past)
• Yakhmi MDS

  • Psychiatry Physician
  • Springfield, OH
  • NPI 1881808145
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kettering Medical Center

  • General Acute Care Hospital
  • Miamisburg, OH
  • NPI 1316966518

  Hospital

  Care Compare affiliation
• Miami Valley Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1073688354

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742688000000",
    "number": "1124052212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 OLD SPANISH TRL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454591453",
            "telephone_number": "937-428-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151702",
            "telephone_number": "937-974-0652",
            "fax_number": "937-372-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOETTLER",
        "first_name": "MARK",
        "middle_name": "ARDEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-03-23",
        "certification_date": "2025-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35057004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Elizabeth Boedeker
• Jennifer Lyn Boehmer
• Tara Nicole Boehmer, APRN
• Stephen Boerger
• Amber Nicole Boes, LPN
• Brooke Bogan
• Montiera Lashae Bogan
• Walter Bogan, CDCA
• Abigail Boggs
• Adam Boggs

• Internal Medicine Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.