Active NPI
Elizabeth Y Boehme, M.D.
- Internal Medicine Physician
- Houston, TX
National Provider Identifier
1184715401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H4061
- Practice address
- 3400 Bissonnet St Ste 100
Houston, TX 77005-2153 - Phone
- (713) 662-2777
- Fax
- (713) 665-6227
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H4061 | TX | Primary |
Addresses
Primary practice location
3400 Bissonnet St Ste 100
Houston, TX 77005-2153
Mailing address
3400 Bissonnet St Ste 100
Houston, TX 77005-2153
Phone (713) 662-2777
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89Y982 | Other | TX | BLUE CROSS BLUE SHIELD |
| 114662303 | Medicaid | TX | |
| P00195922 | Other | TX | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Johns Hopkins University School of Medicine, 1985
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3400 Bissonnet St
Suite 100
Houston, TX 77005-2153
Phone (713) 662-2777
8215 Cypresswood Dr
Spring, TX 77379-7466
Phone (832) 717-0877
Hospital & facility affiliations
- Houston Methodist Hospital
- Memorial Hermann - Texas Medical Center
- Memorial Hermann Memorial City Hospital
- Houston Methodist West Hospital
- Houston Methodist Sugarland Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H4061 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West University Internal Medicine, P.L.L.C. | Internal Medicine | Current | Accepting new patients |
Locations
3400 Bissonnet St
Ste 100
Houston, TX 77005
Phone (713) 662-2777
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.
-
- Internal Medicine Physician
- Houston, TX
- NPI 1235232034
-
- Physical Therapist
- Cedar Park, TX
- NPI 1871132357
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740233782
-
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
-
- General Acute Care Hospital
- Houston, TX
- NPI 1083937593
-
- General Acute Care Hospital
- Sugar Land, TX
- NPI 1497871628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290384000000",
"number": "1184715401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 BISSONNET ST STE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770052153",
"telephone_number": "713-662-2777",
"fax_number": "713-665-6227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 BISSONNET ST STE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770052153",
"telephone_number": "713-662-2777",
"fax_number": "713-665-6227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEHME",
"first_name": "ELIZABETH",
"middle_name": "Y",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2010-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "H4061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "89Y982",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114662303",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00195922",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.