Individual provider Active NPI

James Lee Boysen, M.D.

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1699779330
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G-6456 Issued in TX
Practice address
1106 West. Dittmar
Texas Neuro Rehab Center
Austin, TX 78745
Phone
(512) 442-5326
Fax
(512) 462-6709
NPI assigned
Jun 10, 2005
Last updated
Jul 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G6456 TX
Internal Medicine Physician 207R00000X G-6456 TX Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G-6456 TX
Pulmonary Disease Physician 207RP1001X G-6456 TX

Addresses

Primary practice location

1106 West. Dittmar
Texas Neuro Rehab Center
Austin, TX 78745

Mailing address

8708 Mendocino Drive
Austin, TX 78735
Phone (512) 422-5326

Other identifiers 2

IdentifierTypeStateIssuer
133939208MedicaidTX
133939203MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SD, ID3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070613000482 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9436180916 Reassigns benefits to 1 organization
I20201230001909 SD Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - HospitalistPractitioner - Critical Care (Intensivists) 9436180916 Reassigns benefits to 4 organizations
I20210426001939 ID Practitioner - Internal Medicine 9436180916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
University of Iowa, RJ & L Carver College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health ServicesGroup PAC ID 6103729066, 151 clinicians
Avera St LukesGroup PAC ID 6406764927, 164 clinicians
Sound Physicians of IdahoGroup PAC ID 4688705346, 47 clinicians

Practice addresses (Care Compare)

1000 W 4TH St
Suite 8
Yankton, SD 57078-3700

305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-5100

317 N Broadway Rd
Azle, TX 76020-3776
Phone (512) 422-5326

415 6TH St
Lewiston, ID 83501-2431
Phone (208) 743-2511

501 Summit St
Yankton, SD 57078-3855
Phone (605) 668-8795

8 E US Hwy 12
Groton, SD 57445-2176
Phone (605) 397-4242

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G6456TXMDSpecialist
G-6456TXMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Jul 8, 2024 Accepting new patients
Sacred Heart Health Services CurrentSince Jan 4, 2021 Accepting new patients
Avera St. Luke's Internal Medicine Current Accepting new patients
Avera St. Lukes CurrentSince Aug 8, 2024 Accepting new patients
Avera McKennan CurrentSince Jul 8, 2024 Accepting new patients
Avera McKennan Current Accepting new patients
Sound Physicians of Idaho Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
Avera St Lukes CurrentSince Aug 8, 2024 Accepting new patients
Sacred Heart Health Services Current Accepting new patients
James Boysen, M.D., PA Pulmonary Disease CurrentSince Apr 25, 2012 Accepting new patients
Sacred Heart Health Services CurrentSince Jan 4, 2021 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Central Texas Lung Associates Specialist Past Accepting new patients
Tiara a Slaughter, PHD, PC PastSince Dec 6, 2011 Accepting new patients
Austin Pulmonary Consultants PA Pulmonary Disease PastSince Jun 1, 2008 Accepting new patients

Locations

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

1512 12th Ave Rd
Nampa, ID 83686
Phone (208) 463-5000

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

1106 W Dittmar Rd
Austin, TX 78745
Phone (512) 444-4835

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1699779330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8708 MENDOCINO DRIVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78735",
            "telephone_number": "512-422-5326",
            "fax_number": "512-462-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 WEST. DITTMAR",
            "address_2": "TEXAS NEURO REHAB CENTER",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78745",
            "telephone_number": "512-442-5326",
            "fax_number": "512-462-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYSEN",
        "first_name": "JAMES",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G6456",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G-6456",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "G-6456",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "G-6456",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133939208",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133939203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.