Individual provider Active NPI

Emily Boes, D.O.

  • Dermatology Physician
  • Cedar Rapids, IA
National Provider Identifier
1417307497
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DO-05783 Issued in IA
Practice address
1815 1St Ave SE Ste 200
Cedar Rapids, IA 52402-5417
Phone
(319) 363-0474
Fax
(319) 363-2170
NPI assigned
Jun 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X DO-05783 IA Primary

Addresses

Primary practice location

1815 1St Ave SE Ste 200
Cedar Rapids, IA 52402-5417

Mailing address

1815 1St Ave SE Ste 200
Cedar Rapids, IA 52402-5417
Phone (319) 363-0474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20210816000263 IA Practitioner - Dermatology 6406275296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Clinic of Iowa PCGroup PAC ID 9436143542, 10 clinicians

Practice addresses (Care Compare)

1815 1St Ave SE
200 Dermatology Clinic of Iowa
Cedar Rapids, IA 52402-5417
Phone (319) 363-0474

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as group
Quality
89.24
Improvement activities
40
Cost
63.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision18
Removal of skin lesions365
Skin biopsy249

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-05783IAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly K. Schulz Dermatology Current Accepting new patients
TS Dermatology, PLLC Dermatology CurrentSince Oct 5, 2021 Accepting new patients
Dermatology Clinic of Iowa PC CurrentSince Mar 3, 2025 Accepting new patients

Locations

1815 1st Ave SE
Ste 200
Cedar Rapids, IA 52402
Phone (319) 363-0474

1100 6th St
Ste 202
Coralville, IA 52241
Phone (319) 337-4566

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1417307497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 1ST AVE SE STE 200",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025417",
            "telephone_number": "319-363-0474",
            "fax_number": "319-363-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 1ST AVE SE STE 200",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025417",
            "telephone_number": "319-363-0474",
            "fax_number": "319-363-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOES",
        "first_name": "EMILY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "DO-05783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.