Keith J Boston, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G53533 Issued in CA

Practice address

3150 Gilmore St
Placerville, CA 95667-5500

Phone

(530) 622-4884

Fax

(530) 622-1303

NPI assigned

Nov 1, 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 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Merit-based Incentive Payment System (MIPS)

Final score

26.95 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

89.83

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Keith Boston, M.D. Family Practice

  • Family Medicine Physician
  • Placerville, CA
  • NPI 1013104975
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1609953256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 GILMORE ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675500",
            "telephone_number": "530-622-4884",
            "fax_number": "530-622-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 GILMORE ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675500",
            "telephone_number": "530-622-4884",
            "fax_number": "530-622-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTON",
        "first_name": "KEITH",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G53533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G535530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynee Diane Bonnici, CAS
• Antony R. Boody, M.D.
• Camille Borba
• Guinivere Ann Bork, MFT
• Adria Bossard, FNP
• Marlene Boudreau, RADT1
• Jenisse Bovo
• Carl Edward Bower
• Katherine Diana Bowers, FNP-BC
• Lindsay Erin Bowersox, R.D., I.B.C.L.C

• Family Medicine Physician in Placerville, CA
• Providers in Placerville, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.

Verify at the official NPI Registry.