Active NPI
Soheir Boshra, MD
- Family Medicine Physician
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101-235582
- Practice address
- 2001 Crystal Spring Ave SW
Suite 302
Roanoke, VA 24014-2462 - Phone
- (540) 981-7653
- Fax
- (540) 981-7469
- NPI assigned
- Dec 2, 2005
- Last updated
- Feb 17, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101-235582 | VA | Primary |
Addresses
Primary practice location
2001 Crystal Spring Ave SW
Suite 302
Roanoke, VA 24014-2462
Mailing address
PO Box 95460
Cleveland, OH 44101-0033
Phone (602) 581-6076
Other practice location 1
4212 N 16th St
Phoenix, AZ 85016-5319
Phone (602) 263-1200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010092906 | Medicaid | VA | |
| 010092892 | Medicaid | VA | |
| 010117224 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
291 W Casa Blanca Rd
Hu Hu Kam Memorial Hospital
Sacaton, AZ 85147-0038
Phone (520) 562-3323
483 W Seed Farm Rd
Sacaton, AZ 85147-0038
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101-235582 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Gila River Regional Behavioral Health Authority | Current | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Gila River Health Care | Current | Accepting new patients |
Locations
4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187
Organizations & group practices 5
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.
-
dba Komatke Health Center
- Critical Access Hospital
- Laveen, AZ
- NPI 1376538231
TX
-
dba Phoenix Indian Medical Center
- Public Health or Welfare Agency
- Phoenix, AZ
- NPI 1083643738
TX
-
dba Ak-Chin Clinic
- Public Health or Welfare Agency
- Maricopa, AZ
- NPI 1538043443
-
dba Thwajik Ke Outpatient Behavioral Health Services
- Community/Behavioral Health Agency
- Laveen, AZ
- NPI 1598021495
-
- Case Management Agency
- Sacaton, AZ
- NPI 1306971346
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hu Hu Kam Memorial Hospital
- Critical Access Hospital
- Sacaton, AZ
- NPI 1225023179
-
dba HuHuKam Memorial Hospital - EMS
- Ambulance
- Sacaton, AZ
- NPI 1851441075
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1750365813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95460",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441010033",
"telephone_number": "602-581-6076",
"fax_number": "602-263-1619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 CRYSTAL SPRING AVE SW",
"address_2": "SUITE 302",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240142462",
"telephone_number": "540-981-7653",
"fax_number": "540-981-7469"
}
],
"practiceLocations": [
{
"address_1": "4212 N 16th St",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850165319",
"country_code": "US",
"telephone_number": "602-263-1200",
"fax_number": "602-263-1619",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOSHRA",
"first_name": "SOHEIR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-02",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101-235582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010092906",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010092892",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010117224",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.