NPIMap

Individual provider Active NPI

Peter Eric Boehm Jr., MD

  • Neurological Surgery Physician
  • Chattanooga, TN
National Provider Identifier
1427261429
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD0000046924 Issued in TN
Practice address
1010 E 3Rd St Ste 202
Chattanooga, TN 37403-2174
Phone
(423) 265-2233
Fax
(423) 756-8265
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD0000046924 TN Primary

Addresses

Primary practice location

1010 E 3Rd St Ste 202
Chattanooga, TN 37403-2174

Mailing address

1010 E 3Rd St Ste 202
Chattanooga, TN 37403-2174
Phone (423) 265-2233

Other identifiers 1

IdentifierTypeStateIssuer
1524932MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110711000258 TN Practitioner - Neurosurgery 9830377191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

979 E 3Rd St
Chattanooga, TN 37403-2136
Phone (423) 265-2233

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion78
Laminectomy or laminotomy (partial removal of spine bones)44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000046924TNMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health Neurological Surgery CurrentSince Dec 17, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Mar 1, 2015 Accepting new patients
Chattanooga Hamilton County Hospital Authority Neurological Surgery CurrentSince Mar 1, 2015 Accepting new patients
Erlanger Health CurrentSince Dec 17, 2023 Accepting new patients
Erlanger Health Past Accepting new patients

Locations

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

1010 E 3rd St
Ste 202
Chattanooga, TN 37403
Phone (423) 265-2233

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Interoperability endpoints

  • Direct secure messaging: pboehm10228@direct.erlanger.org

Organizations & group practices 5

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 5

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1427261429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E 3RD ST STE 202",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032174",
            "telephone_number": "423-265-2233",
            "fax_number": "423-756-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E 3RD ST STE 202",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032174",
            "telephone_number": "423-265-2233",
            "fax_number": "423-756-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHM",
        "first_name": "PETER",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "MD0000046924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524932",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.