Individual provider Active NPI

Peter Francis Boehling, MD

  • Obstetrics & Gynecology Physician
  • Edenton, NC
National Provider Identifier
1346319209
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
9501177 Issued in NC
Practice address
309 N Broad St
Edenton, NC 27932
Phone
(252) 482-7001
Fax
(252) 482-0966
NPI assigned
Nov 7, 2006
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 9501177 NC Primary

Addresses

Primary practice location

309 N Broad St
Edenton, NC 27932

Mailing address

309 N Broad St
Edenton, NC 27932
Phone (252) 482-7001

Other identifiers 1

IdentifierTypeStateIssuer
891640PMedicaidNC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Peter.Boehling@vidanthealth.com Direct
Direct Messaging Address Peter.Boehling@vidanthealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050218000187 NC Practitioner - Obstetrics/Gynecology 5496706392 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Virginia Commonwealth University, School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

201 Virginia Rd
Edenton, NC 27932-9668
Phone (252) 482-2116

211 Virginia Rd
Edenton, NC 27932-9668
Phone (252) 482-6219

309 N Broad St
Edenton, NC 27932-1925
Phone (252) 482-7001

401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9501177NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg North Carolina, P.C. Obstetrics & Gynecology CurrentSince Dec 27, 2017 Accepting new patients
Carolinas Physicians Network Inc Obstetrics & Gynecology CurrentSince Oct 4, 2018 Accepting new patients
Vidant Medical Group LLC CurrentSince Dec 2, 2012 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Oct 4, 2018 Accepting new patients
Vidant Medical Group LLC CurrentSince Dec 2, 2012 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Outer Banks Professional Services, LLC Obstetrics & Gynecology CurrentSince Apr 28, 2017 Accepting new patients

Locations

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

101 E Wt Harris Blvd
Ste 2320
Charlotte, NC 28262
Phone (704) 547-0858

101 E Wt Harris Blvd
Ste 5301
Charlotte, NC 28262
Phone (704) 548-1671

309 N Broad St
Edenton, NC 27932
Phone (252) 482-7001

16455 Statesville Rd
Ste 400
Huntersville, NC 28078
Phone (701) 801-2130

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

4810 S Croatan Hwy
Ste 250
Nags Head, NC 27959
Phone (252) 261-4885

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

Interoperability endpoints

  • Direct secure messaging: pboehling24463@direct.ecuhealth.com
  • Direct secure messaging: peter.boehling@vidanthealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1346319209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 N BROAD ST",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "27932",
            "telephone_number": "252-482-7001",
            "fax_number": "252-482-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N BROAD ST",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "27932",
            "telephone_number": "252-482-7001",
            "fax_number": "252-482-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHLING",
        "first_name": "PETER",
        "middle_name": "FRANCIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "9501177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891640P",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Peter.Boehling@vidanthealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "309 N Broad St",
            "city": "Edenton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Peter.Boehling@vidanthealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "309 N Broad St",
            "city": "Edenton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edenton, NC

Sources for this page

Verify at the official NPI Registry.