Boerne Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BOERNE PEDIATRICS

Doing business as

Pediatrics of Boerne

Practice address

138 Old San Antonio Rd Ste 101
Boerne, TX 78006-3491

Phone

(830) 355-2343

Fax

(830) 268-8711

NPI assigned

Mar 6, 2020

Last updated

Jul 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shalini Boggarapu, MDNPI 1720379506

Title

MD

Phone

(347) 604-4060

Specialties & licenses 1

Addresses

Other names 1

• Pediatrics of Boerne Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shalini Boggarapu, MD

  • Pediatrics Physician
  • Boerne, TX
  • NPI 1720379506
  NPD Authorized official

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1790310084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 OLD SAN ANTONIO RD STE 101",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063491",
            "telephone_number": "830-355-2343",
            "fax_number": "830-268-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 OLD SAN ANTONIO RD STE 101",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063491",
            "telephone_number": "830-355-2343",
            "fax_number": "830-268-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOERNE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "BOGGARAPU",
        "authorized_official_first_name": "SHALINI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "347-604-4060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatrics of Boerne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Boerne Nursing Operations, LLC (Riverview Nursing & Rehabilitation)
• Boerne OB/GYN, P.a.
• Boerne Operations LLC
• Boerne Optical LTD 1 (Trinity Vision Center)
• Boerne Orthodontics, PLLC
• Boerne Physical Therapy Institute
• Boerne Regen and Anti-Aging Center, PLLC
• Boerne Spectrum Physical Therapy Clinic (Spectrum Physical Therapy)
• Boerne Speech Therapy, LLC (Trio Rehabilitation & Wellness Solutions)
• Boerne TX Familty Dentistry PLLC (Boerne Family Dentistry)

• Pediatrics Physician in Boerne, TX
• Providers in Boerne, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.