Individual provider Active NPI

Scott Irwin Boggs, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fort Mohave, AZ
National Provider Identifier
1467439331
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0417 Issued in AZ
Practice address
5221 Hwy 95
Suite 10
Fort Mohave, AZ 86426-9244
Phone
(928) 788-3668
Fax
(928) 788-3670
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5221 S Hwy 95 10
Fort Mohave, AZ 86426-9244
Phone (928) 788-3668

Hospital & facility affiliations

  • Valley View Home Health Home health agency, Bullhead City, AZ, CCN 037412
  • Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
  • Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue821
Removal of skin lesions1-10
Removal of nail tissue27
Skin biopsy1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051116000324 AZ Practitioner - Podiatry 6800815101 Practice locations: Fort Mohave, AZ
I20191204001357 TX Practitioner - Podiatry 6800815101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0417AZMDAcupuncturist
E3499CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott I Boggs Podiatrist Current Accepting new patients

Locations

5221 S Highway 95
Ste 10
Fort Mohave, AZ 86426
Phone (928) 788-3668

Interoperability endpoints

  • Direct secure messaging: scott.boggs.1@4805.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/4805/brand/1/csg/1/fhir/r4

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0417 AZ Primary
Foot & Ankle Surgery Podiatrist 213ES0103X E3499 CA

Addresses

NPPES NPI Registry

Primary practice location

5221 Hwy 95
Suite 10
Fort Mohave, AZ 86426-9244

Mailing address

5221 Hwy 95
Suite 10
Fort Mohave, AZ 86426-9244
Phone (928) 788-3668

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
000E34990OtherCABLUE SHIELD
AZ0194650OtherAZBLUE CROSS BLUE SHIELD
452540MedicaidAZ
XPD000850MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 7, 2020.

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1467439331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 HWY 95",
            "address_2": "SUITE 10",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269244",
            "telephone_number": "928-788-3668",
            "fax_number": "928-788-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 HWY 95",
            "address_2": "SUITE 10",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269244",
            "telephone_number": "928-788-3668",
            "fax_number": "928-788-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGS",
        "first_name": "SCOTT",
        "middle_name": "IRWIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0417",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3499",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000E34990",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0194650",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "452540",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XPD000850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mohave, AZ

Sources for this page

Verify at the official NPI Registry.