Individual provider Active NPI

Justin Joel Boe, M.D.

  • Diagnostic Radiology Physician
  • Edmond, OK
National Provider Identifier
1205925864
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25546 Issued in OK
Practice address
1408 Glenolde PL
Edmond, OK 73003-2668
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A97272 CA
Diagnostic Radiology Physician 2085R0202X 25546 OK Primary
Diagnostic Radiology Physician 2085R0202X A97272 CA
Diagnostic Radiology Physician 2085R0202X 44935 KY

Addresses

Primary practice location

1408 Glenolde PL
Edmond, OK 73003-2668

Mailing address

11995 Singletree LN
Suite 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX, MI, TN, MO, IL, NY, KY8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20120718000755 OK Practitioner - Diagnostic RadiologyPractitioner - Pediatric MedicinePractitioner - Interventional Radiology 5496754988 Reassigns benefits to 23 organizations
I20130723000071 TX Practitioner - Diagnostic RadiologyPractitioner - Pediatric Medicine 5496754988 Reassigns benefits to 4 organizations
I20230410001824 MI Practitioner - Diagnostic Radiology 5496754988 Reassigns benefits to 1 organization
I20231117000903 TN Practitioner - Diagnostic Radiology 5496754988 Reassigns benefits to 1 organization
I20240409002032 MO Practitioner - Diagnostic Radiology 5496754988 Reassigns benefits to 1 organization
I20240416000477 IL Practitioner - Diagnostic Radiology 5496754988 Reassigns benefits to 1 organization
I20240613000772 NY Practitioner - Diagnostic Radiology 5496754988 Reassigns benefits to 1 organization
I20251015000851 KY Practitioner - Diagnostic Radiology 5496754988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Eagle Partners, PLLCGroup PAC ID 9032205752, 170 clinicians
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Radiology Associates of Southwest LouisianaGroup PAC ID 0941243562, 98 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Louisville Radiology Imaging Consultants PLLCGroup PAC ID 2264436120, 103 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians
Adi Radiology PCGroup PAC ID 7911236427, 153 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Imaging Associates of Michigan PLLCGroup PAC ID 9537434386, 148 clinicians

Practice addresses (Care Compare)

1 Hurley Plasa
9W Hurley Maternal Fetal Medicine
Flint, MI 48503-5902
Phone (810) 262-4787

1 Hurley PLZ
Flint, MI 48503-5902

1200 Childrens Ave
Oklahoma City, OK 73104-4637
Phone (405) 271-2669

1408 Glenolde PL
Edmond, OK 73003-2668
Phone (713) 461-3573

160 E Main St
Port Jervis, NY 12771-2114
Phone (718) 223-4685

1700 Medical Ctr Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4587

4512 W Memphis St
Broken Arrow, OK 74012-8864
Phone (615) 312-0600

4816 Arbuckle Dr
Edmond, OK 73025-9616
Phone (337) 439-4706

4816 Arbuckle Dr E
Edmond, OK 73025-9616
Phone (906) 449-3000

900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065

Hospital & facility affiliations

  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038
  • Rapides Regional Medical Center Hospital, Alexandria, LA, CCN 190026
  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060
  • Blessing Hospital Hospital, Quincy, IL, CCN 140015
  • Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A97272CAMDDiagnostic Radiology Physician
44935KYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Family Medicine CurrentSince Oct 3, 2018 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Aug 18, 2024 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince May 13, 2020 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Jul 1, 2012 Accepting new patients
Blessing Hospital CurrentSince Mar 4, 2024 Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Oct 13, 2018 Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Sep 1, 2019 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Jun 23, 2024 Accepting new patients
Pikeville Medical Center Inc. CurrentSince Aug 3, 2025 Accepting new patients
Blessing Hospital CurrentSince Mar 4, 2024 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Ton San Xavier Health Center CurrentSince Mar 1, 2016 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Ton Sells Hospital CurrentSince May 26, 2013 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jun 5, 2020 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Mar 24, 2018 Accepting new patients
Ton San Simon Health Center CurrentSince Mar 1, 2016 Accepting new patients
Hurley Medical Center CurrentSince Mar 1, 2023 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince May 7, 2024 Accepting new patients
Grady Memorial Hospital CurrentSince Oct 3, 2018 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Aug 6, 2023 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Jan 4, 2022 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Dec 29, 2019 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Jun 23, 2021 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Jul 1, 2012 Accepting new patients
Hurley Medical Center Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Grady Memorial Hospital Current Accepting new patients
Hurley Medical Center Current Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Mar 23, 2024 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology CurrentSince Jan 15, 2018 Accepting new patients
Fred Smeltzer MD & Associates Inc Diagnostic Radiology CurrentSince Dec 1, 2012 Accepting new patients
Pikeville Medical Center Inc CurrentSince Aug 3, 2025 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jan 15, 2018 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Nov 13, 2024 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince May 7, 2018 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Oct 9, 2023 Accepting new patients
Virtual Radiologic Professionals of California, P.a Diagnostic Radiology Past Accepting new patients
Second Avenue MRI LLC Diagnostic Radiology PastSince Jul 19, 2014 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology Past Accepting new patients
West Florida Radiology Associates PA Diagnostic Radiology Past Accepting new patients
Imaging Group of Delaware, PA Diagnostic Radiology Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Ton Sells Hospital Past Accepting new patients

Locations (25 of 137)

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

3645 S Rome St
Ste 101
Gilbert, AZ 85297

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1052 E McKellips Rd
Mesa, AZ 85203
Phone (480) 425-5080

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

10575 N Tatum Blvd
Ste C128
Paradise Vly, AZ 85253
Phone (480) 998-1490

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

9165 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 285-1120

10230 W Happy Valley Pkwy
Ste 100
Peoria, AZ 85383
Phone (623) 266-4699

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

19636 N 27th Ave
Ste LL1
Phoenix, AZ 85027
Phone (602) 485-7482

9250 N 3rd St
Ste 1002
Phoenix, AZ 85020
Phone (602) 216-6690

8825 N 23rd Ave
Ste 100
Phoenix, AZ 85021
Phone 41550438389238

26224 N Tatum Blvd
Phoenix, AZ 85050
Phone (480) 663-9632

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

18404 N Tatum Blvd
Ste 103
Phoenix, AZ 85032
Phone (602) 485-7490

33423 N 32nd Ave
Phoenix, AZ 85085
Phone (623) 474-1600

Interoperability endpoints

  • Direct secure messaging: jboe29649@ouhealth.direct-ci.net
  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

Organizations & group practices 47

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.

View all 47

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1205925864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "SUITE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 GLENOLDE PL",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730032668",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOE",
        "first_name": "JUSTIN",
        "middle_name": "JOEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A97272",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "25546",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A97272",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "44935",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.