William R Boulden, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

19337 Issued in IA

Practice address

12499 University Ave
Suite 210
Des Moines, IA 50325-8281

Phone

(515) 440-2676

Fax

(515) 440-2677

NPI assigned

Apr 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19659/brand/1/csg/1/fhir/r4
• Direct secure messaging: william.boulden.1@19659.direct.athenahealth.com

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.

• Capital Orthopaedics and Sports Medicine PC

  • Orthopaedic Surgery Physician
  • Clive, IA
  • NPI 1932432457
  Medicare reassignment NPD
• William R. Boulden MD PC

  • Orthopaedic Surgery Physician
  • Des Moines, IA
  • NPI 1023237914
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1609830355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12499 UNIVERSITY AVE",
            "address_2": "SUITE 210",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503258281",
            "telephone_number": "515-440-2676",
            "fax_number": "515-440-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12499 UNIVERSITY AVE",
            "address_2": "SUITE 210",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503258281",
            "telephone_number": "515-440-2676",
            "fax_number": "515-440-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULDEN",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "19337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "50215",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2138891",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00060888",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Boton, RN
• Michelle Marie Bottenberg, PHARMD
• Jessica L Bottenfield-Biehn, ARNP/CNM
• Michael Alan Bottke, MD
• Malaythong Bouaphakeo
• Erin Christine Bouslaugh, R.D.
• Gerald Bouslog, PT
• Danielle Rae Boutsalis, FNP-C, ARNP
• Heidi Bowden, LISW, CADC
• Brooke Annette Bower, DO

• Orthopaedic Surgery Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Orthopaedic Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.