Tiara Roter Boquiren, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA18123 Issued in TX

Practice address

3801 N Lamar Blvd Ste 300
Austin, TX 78756-4080

Phone

(512) 206-3600

Fax

(512) 407-1874

NPI assigned

Nov 1, 2022

Last updated

Jul 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Davids Heart and Vascular PLLCGroup PAC ID 7012821879, 197 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St David's Medical Center Hospital, Austin, TX, CCN 450431
• Seton Medical Center Harker Heights Hospital, Harker Heights, TX, CCN 670080
• Adventhealth Rollins Brook Hospital, Lampasas, TX, CCN 451323
• Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• St Davids Heart & Vascular, PLLC

  • Cardiovascular Disease Physician
  • Austin, TX
  • NPI 1700887700
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HH Killeen Health System LLC

  dba Seton Medical Center Harker Heights

  • General Acute Care Hospital
  • Harker Heights, TX
  • NPI 1841562709
  Care Compare affiliation
• Metroplex Adventist Hospital Inc

  dba AdventHealth Rollins Brook

  • Critical Access Hospital
  • Lampasas, TX
  • NPI 1750392916
  Care Compare affiliation
• St Davids Healthcare Partnership LP LLP

  dba Round Rock Medical Center

  • General Acute Care Hospital
  • Round Rock, TX
  • NPI 1649223645
  Care Compare affiliation
• St. Davids Healthcare Partnership, L.P., LLP

  dba Heart Hospital of Austin

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1720033947
  Care Compare affiliation

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1770290579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 SULFUR SPRING DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425283",
            "telephone_number": "808-222-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N LAMAR BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564080",
            "telephone_number": "512-206-3600",
            "fax_number": "512-407-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOQUIREN",
        "first_name": "TIARA",
        "middle_name": "ROTER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18123",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Kirkwood Booton, M.D.
• Tali Anne Boots, LPC
• Jaclyn Ann Boozalis, MD
• Caylee Rebekah Boozer, DPT
• Sarah Lissette Boozer
• Rachel Caroline Boraten, AUD
• Marianna Borbon
• William Borchardt
• Tiffani Borcherding
• Loa Lael Borchert, APRN CPNP-PC

• Physician Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.