Individual provider Active NPI

Michael George Boharski, M.D.

  • Specialist
  • Kalispell, MT
National Provider Identifier
1164400396
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5266 Issued in MT
Practice address
430 Windward Way
Suite 203
Kalispell, MT 59901-2619
Phone
(406) 752-5553
Fax
(406) 752-5530
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5266 MT Primary

Addresses

Primary practice location

430 Windward Way
Suite 203
Kalispell, MT 59901-2619

Mailing address

430 Windward Way
Suite 203
Kalispell, MT 59901-2623
Phone (406) 752-5553

Other identifiers 1

IdentifierTypeStateIssuer
51571MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5266MTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Health Services Incorporated Past Accepting new patients
Kalispell Regional Medical Center, Inc Past Accepting new patients

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1164400396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 WINDWARD WAY",
            "address_2": "SUITE 203",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012623",
            "telephone_number": "406-752-5553",
            "fax_number": "406-752-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WINDWARD WAY",
            "address_2": "SUITE 203",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012619",
            "telephone_number": "406-752-5553",
            "fax_number": "406-752-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHARSKI",
        "first_name": "MICHAEL",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MT",
            "license": "5266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51571",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.