Individual provider Active NPI

Paul Steven Boeke, M.D.

  • Ophthalmology Physician
  • Hiawatha, IA
National Provider Identifier
1447544192
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
44232 Issued in IA
Practice address
1195 Boyson Rd Ste 200
Hiawatha, IA 52233-2218
Phone
(319) 362-8032
Fax
(319) 362-6098
NPI assigned
May 30, 2011
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 63597 WI
Retina Specialist (Ophthalmology) Physician 207WX0107X 44232 IA
Ophthalmology Physician 207W00000X 44232 IA Primary

Addresses

Primary practice location

1195 Boyson Rd Ste 200
Hiawatha, IA 52233-2218

Mailing address

309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200

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
I20170524002627 IA Practitioner - Ophthalmology 0446494066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Iowa, RJ & L Carver College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wolfe Clinic IncGroup PAC ID 8628979291, 37 clinicians

Practice addresses (Care Compare)

112 Jefferson St
West Union, IA 52175-1022
Phone (515) 386-8196

1195 Boyson Rd
Suite 200
Hiawatha, IA 52233-2218
Phone (319) 362-8032

309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200

8 E Spring St
Wolfe Eye Clinic
New Hampton, IA 50659-2132
Phone (641) 394-2326

999 Home PLZ
Suite 101
Waterloo, IA 50701-4822
Phone (319) 287-5890

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44232IAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wolfe Clinic Inc Ophthalmology CurrentSince Jul 1, 2017 Accepting new patients
Riley F Uglum, OD PC Past Accepting new patients

Locations

516 Division St
Ste 120B
Cedar Falls, IA 50613
Phone (319) 277-0103

1245 2nd Ave SE
Cedar Rapids, IA 52403
Phone 3193628032 ext. 5400

1195 Boyson Rd
Ste 200
Hiawatha, IA 52233
Phone (319) 362-8032

309 E Church St
Marshalltown, IA 50158
Phone (515) 754-6200

8 E Spring St
New Hampton, IA 50659
Phone (641) 394-2326

999 Home Plz
Ste 101
Waterloo, IA 50701
Phone (319) 287-5890

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

Interoperability endpoints

  • Direct secure messaging: pboeke@wolfe.intellechartdirect.net
  • Direct secure messaging: pboeke3930532@direct.trinity-health.org

Organizations & group practices 2

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 1

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": "1306713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1447544192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E CHURCH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582946",
            "telephone_number": "641-754-6200",
            "fax_number": "641-754-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 BOYSON RD STE 200",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332218",
            "telephone_number": "319-362-8032",
            "fax_number": "319-362-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEKE",
        "first_name": "PAUL",
        "middle_name": "STEVEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-30",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "63597",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IA",
            "license": "44232",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "44232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

Verify at the official NPI Registry.