NPIMap

Individual provider Active NPI

Roger O Boye, MD

  • Pulmonary Disease Physician
  • Racine, WI
National Provider Identifier
1215039722
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
50632 Issued in WI
Practice address
3803 Spring Street
Suite 600
Racine, WI 53405-1660
Phone
(262) 687-8312
Fax
(262) 687-8312
NPI assigned
Sep 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036085330 IL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036085330 IL
Pulmonary Disease Physician 207RP1001X 036085330 IL
Pulmonary Disease Physician 207RP1001X 50632 WI Primary

Addresses

Primary practice location

3803 Spring Street
Suite 600
Racine, WI 53405-1660

Mailing address

3803 Spring Street
Suite 600
Racine, WI 53405-1660
Phone (262) 687-8312

Other identifiers 2

IdentifierTypeStateIssuer
1633677OtherILBLUE CROSS PROVIDER #
036085330MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040119000181 IL Practitioner - Internal MedicinePractitioner - Sleep Medicine 2769383132 Reassigns benefits to 1 organization
I20070813000503 WI Practitioner - Pulmonary Disease 2769383132 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sleep Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cook CountyGroup PAC ID 2860398088, 770 clinicians
Ascension Medical Group-Southeast Wisconsin IncGroup PAC ID 8628980943, 551 clinicians

Practice addresses (Care Compare)

1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292

9969 S 27TH St
Franklin, WI 53132-9533
Phone (414) 325-4940

Hospital & facility affiliations

  • Ascension All Saints Hospital Hospital, Racine, WI, CCN 520096
  • Provident Hospital of Chicago Hospital, Chicago, IL, CCN 140300
  • John H Stroger Jr Hospital Hospital, Chicago, IL, CCN 140124
  • Aurora Medical Center Kenosha Hospital, Kenosha, WI, CCN 520189

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036085330ILMDCritical Care Medicine (Internal Medicine) Physician
50632WIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension NE Wisconsin, Inc Current Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Nov 2, 2009 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Jan 20, 2021 Accepting new patients
Cook County CurrentSince Dec 16, 2025 Accepting new patients
Cook County Internal Medicine CurrentSince Dec 16, 2025 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Nov 2, 2009 Accepting new patients
Optimal Health LTD Internal Medicine Past Accepting new patients
Ascension All Saints Hospital, Inc Past Accepting new patients

Locations

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Organizations & group practices 10

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.

Hospital & facility affiliations 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1215039722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 SPRING STREET",
            "address_2": "SUITE 600",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534051660",
            "telephone_number": "262-687-8312",
            "fax_number": "262-687-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 SPRING STREET",
            "address_2": "SUITE 600",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534051660",
            "telephone_number": "262-687-8312",
            "fax_number": "262-687-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYE",
        "first_name": "ROGER",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036085330",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036085330",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036085330",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "50632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "1633677",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085330",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

Verify at the official NPI Registry.