Individual provider Active NPI

Gerhard A.W. Boehm, M.D.

  • Specialist
  • Mobile, AL
National Provider Identifier
1427000785
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00006021 Issued in AL
Practice address
3 Mobile Infirmary Cir
Suite 305
Mobile, AL 36607-3520
Phone
(251) 433-5557
Fax
(251) 433-5558
NPI assigned
May 16, 2006
Last updated
Dec 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 00006021 AL Primary

Addresses

Primary practice location

3 Mobile Infirmary Cir
Suite 305
Mobile, AL 36607-3520

Mailing address

3 Mobile Infirmary Cir
Suite 305
Mobile, AL 36607-3520
Phone (251) 433-5557

Other identifiers 1

IdentifierTypeStateIssuer
000000549MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100218000423 AL Practitioner - General Surgery 8921919119 Reassigns benefits to 1 organization
Practice locations: Mobile, AL

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Cancer Surgery of Mobile, LLCGroup PAC ID 1557550589, 23 clinicians

Practice addresses (Care Compare)

3 Mobile Infirmary Cir
Suite 302
Mobile, AL 36607-3515
Phone (251) 433-5557

5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone (251) 435-5557

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.26 of 100Reported as group
Promoting interoperability
93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00006021ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Imc-Cancer Surgery of Mobile, LLC CurrentSince Jul 1, 2015 Accepting new patients

Locations

188 Hospital Dr
Ste 205
Fairhope, AL 36532
Phone (251) 990-3701

3 Mobile Infirmary Cir
Ste 305
Mobile, AL 36607
Phone (251) 433-5557

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

Organizations & group practices 1

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 2

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1427000785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR",
            "address_2": "SUITE 305",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073520",
            "telephone_number": "251-433-5557",
            "fax_number": "251-433-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR",
            "address_2": "SUITE 305",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073520",
            "telephone_number": "251-433-5557",
            "fax_number": "251-433-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHM",
        "first_name": "GERHARD",
        "middle_name": "A.W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "00006021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000549",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.