Active NPI
Ryan David Boehm, M.D.
- Interventional Cardiology Physician
- Wakefield, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- MD20203
- Practice address
- 70 Kenyon Ave
Wakefield, RI 02879-4239 - Phone
- (401) 789-5770
- Fax
- (401) 889-5082
- NPI assigned
- Mar 19, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | MD20203 | RI | Primary |
Addresses
Primary practice location
70 Kenyon Ave
Wakefield, RI 02879-4239
Mailing address
455 Toll Gate Rd
PRC and Credentialing
Warwick, RI 02886-2759
Phone (401) 273-0641
Other practice location 1
100 Kenyon Ave
Wakefield, RI 02879-4216
Phone (401) 782-8000
Other practice location 2
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
Other practice location 3
1405 South County Trail
Suite 1B
East Greenwich, RI 02818
Phone (401) 921-5411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190831000176 | LA | Practitioner - Interventional Cardiology | 8022397595 | Reassigns benefits to 2 organizations |
| I20241014004223 | RI | Practitioner - Interventional Cardiology | 8022397595 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Affinity Physicians LLC.
Practice addresses (Care Compare)
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
Hospital & facility affiliations
- South County Hospital Inc
- Kent County Memorial Hospital
- The Miriam Hospital
- Rhode Island Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kent County Memorial Hospital | Current | Accepting new patients | |
| Affinity Physicians LLC. | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Kent County Memorial Hospital | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Affinity Physicians LLC | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients |
Locations
1415 Tulane Ave
Fl 4
New Orleans, LA 70112
Phone (504) 988-5263
2820 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-4960
1430 Tulane Ave
#8648
New Orleans, LA 70112
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
1514 Jefferson Hwy
New Orleans, LA 70121
3461 S County Trl
East Greenwich, RI 02818
Phone (401) 471-6740
1405 S County Trl
Ste 1B
East Greenwich, RI 02818
Phone (401) 921-5411
100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000
70 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053038471
-
- Rehabilitation Hospital Unit
- Warwick, RI
- NPI 1023017944
-
- General Acute Care Hospital
- Warwick, RI
- NPI 1386643294
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- Pediatrics Physician
- Metairie, LA
- NPI 1770782534
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wakefield, RI
- NPI 1952366106
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1124342159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 TOLL GATE RD",
"address_2": "PRC AND CREDENTIALING",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862759",
"telephone_number": "401-273-0641",
"fax_number": "401-273-2919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 KENYON AVE",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028794239",
"telephone_number": "401-789-5770",
"fax_number": "401-889-5082"
}
],
"practiceLocations": [
{
"address_1": "100 Kenyon Ave",
"address_purpose": "LOCATION",
"city": "Wakefield",
"state": "RI",
"postal_code": "028794216",
"country_code": "US",
"telephone_number": "401-782-8000",
"fax_number": "401-788-3830",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 Toll Gate Rd",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028862759",
"country_code": "US",
"telephone_number": "401-737-7010",
"fax_number": "401-736-4546",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1405 South County Trail",
"address_2": "Suite 1B",
"address_purpose": "LOCATION",
"city": "East Greenwich",
"state": "RI",
"postal_code": "02818",
"country_code": "US",
"telephone_number": "401-921-5411",
"fax_number": "401-889-5082",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOEHM",
"first_name": "RYAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-19",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "RI",
"license": "MD20203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.