Active NPI
Scott Irwin Boggs, DPM
- Foot & Ankle Surgery Podiatrist
- Fort Mohave, AZ
National Provider Identifier
1467439331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0417
- 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.
-
- Podiatrist
- Fort Mohave, AZ
- NPI 1427351345
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bullhead City, AZ
- NPI 1265979033
-
- General Acute Care Hospital
- Bullhead City, AZ
- NPI 1255302766
Hospital
-
- Urgent Care Clinic/Center
- Bullhead City, AZ
- NPI 1780996223
Hospital
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
- Valley View Medical Center
- Kingman Regional Medical Center
- Western Arizona Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 821 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 27 |
| Skin biopsy | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0417 | AZ | MD | Acupuncturist |
| E3499 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New 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
- scott.boggs.1@4805.direct.athenahealth.com
- https://api.platform.athenahealth.com/4805/brand/1/csg/1/fhir/r4
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0417 | AZ | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E3499 | CA |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E34990 | Other | CA | BLUE SHIELD |
| AZ0194650 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 452540 | Medicaid | AZ | |
| XPD000850 | Medicaid | CA |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.