Regis Boudreau DPM LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

REGIS BOUDREAU DPM LLC

Practice address

1159 North Rd
Carlisle, MA 01741-1245

Phone

(617) 244-3831

Fax

(617) 244-5203

NPI assigned

Feb 25, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Regis Joseph Boudreau, D.P.M.NPI 1992875744

Title

Owner

Phone

(617) 244-3831

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Regis Joseph Boudreau, DPM

  • Podiatrist
  • Carlisle, MA
  • NPI 1992875744
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1922468511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 NORTH RD",
            "city": "CARLISLE",
            "state": "MA",
            "postal_code": "017411245",
            "telephone_number": "617-244-3831",
            "fax_number": "617-244-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 NORTH RD",
            "city": "CARLISLE",
            "state": "MA",
            "postal_code": "017411245",
            "telephone_number": "617-244-3831",
            "fax_number": "617-244-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIS BOUDREAU DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "BOUDREAU",
        "authorized_official_first_name": "REGIS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-244-3831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Makovsky, OTR/L
• Lefki Michael-Maxim
• Minuteman Arc Early Intervention
• Maureen W Myers, PHD
• Eva M Okeefe, R.PH.
• Andrea Richman, DMD
• Mark A Robart, LICSW
• Diana Rodgers, RD
• Moojan Rouhi, OD
• Kathleen Monahan Rubenstein, LICSW

• Podiatrist in Carlisle, MA
• Providers in Carlisle, MA by specialty
• Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.