Active NPI
Peter Vincent Boesen, M.D.
- Pediatric Otolaryngology Physician
- Windsor Heights, IA
National Provider Identifier
1871591966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Otolaryngology Physician
- License
- 26113
- Practice address
- 1000 73Rd St
Suite 18
Windsor Heights, IA 50311-1321 - Phone
- (515) 267-0691
- Fax
- (515) 267-0790
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Otolaryngology Physician | 207YP0228X | 26113 | IA | Primary |
Addresses
Primary practice location
1000 73Rd St
Suite 18
Windsor Heights, IA 50311-1321
Mailing address
1000 73Rd St
Suite 18
Windsor Heights, IA 50311-1321
Phone (515) 267-0691
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3058156 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26113 | IA | MD | Pediatric Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1871591966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 73RD ST",
"address_2": "SUITE 18",
"city": "WINDSOR HEIGHTS",
"state": "IA",
"postal_code": "503111321",
"telephone_number": "515-267-0691",
"fax_number": "515-267-0790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 73RD ST",
"address_2": "SUITE 18",
"city": "WINDSOR HEIGHTS",
"state": "IA",
"postal_code": "503111321",
"telephone_number": "515-267-0691",
"fax_number": "515-267-0790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOESEN",
"first_name": "PETER",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "IA",
"license": "26113",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3058156",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Windsor Heights, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.