Individual provider Active NPI

Scott Boman, MD

  • Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1316924145
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
7636 Issued in NV
Practice address
7250 Peak Dr Ste 100
Las Vegas, NV 89128-9028
Phone
(702) 386-4700
Fax
(702) 386-4701
NPI assigned
Dec 22, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 7636 NV Primary

Addresses

Primary practice location

7250 Peak Dr Ste 100
Las Vegas, NV 89128-9028

Mailing address

3157 N Rainbow Blvd # 518
Las Vegas, NV 89108-4578
Phone (702) 386-4700

Other identifiers 1

IdentifierTypeStateIssuer
002019696MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070919000000 NV Practitioner - Anesthesiology 9739273988 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amin Dunckelmeyer and Luu PLLCGroup PAC ID 4385002682, 48 clinicians

Practice addresses (Care Compare)

Las Vegas, NV 89117
Phone (469) 983-0099

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7636NVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amin, Dunckelmeyer and Luu PLLC Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Red Rock Anesthesia Consultants LLC Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
PBS Anesthesia LLC CurrentSince Sep 1, 2007 Accepting new patients
Dodd Hyer, M.D. LTD Anesthesiology Past Accepting new patients

Locations

2555 Box Canyon Dr
Las Vegas, NV 89128
Phone (702) 316-4400

2635 Box Canyon Dr
Las Vegas, NV 89128
Phone (702) 850-3003

2635 Box Canyon Dr
Bldg 4
Las Vegas, NV 89128

3157 N Rainbow Blvd
Las Vegas, NV 89108

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

7250 Peak Dr
Ste 100
Las Vegas, NV 89128
Phone (702) 245-5960

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316924145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 N RAINBOW BLVD # 518",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084578",
            "telephone_number": "702-386-4700",
            "fax_number": "702-386-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 PEAK DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289028",
            "telephone_number": "702-386-4700",
            "fax_number": "702-386-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMAN",
        "first_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "7636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019696",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.