Individual provider Active NPI

Benjamin Boh, D.O.

  • Endocrinology, Diabetes & Metabolism Physician
  • Lebanon, NH
National Provider Identifier
1982921805
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
17205 Issued in NH
Practice address
20 W Park St Ste 421
Lebanon, NH 03766-6308
Phone
(603) 276-0024
Fax
(603) 457-8508
NPI assigned
May 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 17205 NH Primary

Addresses

Primary practice location

20 W Park St Ste 421
Lebanon, NH 03766-6308

Mailing address

20 W Park St Ste 421
Lebanon, NH 03766-6308
Phone (603) 276-0024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150923003271 NH Practitioner - EndocrinologyPractitioner - Internal Medicine 2769497189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of New England, College of Osteo Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20 W Park St
Suite 421
Lebanon, NH 03766-6308
Phone (603) 276-0024

Hospital & facility affiliations

  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
  • Alice Peck Day Memorial Hospital Hospital, Lebanon, NH, CCN 301305
  • Mt Ascutney Hospital Hospital, Windsor, VT, CCN 471302
  • Porter Hospital Inc Hospital, Middlebury, VT, CCN 471307

Merit-based Incentive Payment System (MIPS)

Final score
71.76 of 100Reported as group
Quality
59.41
Promoting interoperability
100
Improvement activities
40
Cost
46.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Affirm Medical Group PLLC Endocrinology, Diabetes & Metabolism CurrentSince May 27, 2021 Accepting new patients
Excel Physical Therapy Inc PastSince Oct 1, 2015 Accepting new patients

Locations

20 W Park St
Ste 421
Lebanon, NH 03766
Phone (603) 276-0024

Interoperability endpoints

  • Direct secure messaging: benjamin.boh@328178283642884.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1272758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1982921805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W PARK ST STE 421",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037666308",
            "telephone_number": "603-276-0024",
            "fax_number": "603-457-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W PARK ST STE 421",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037666308",
            "telephone_number": "603-276-0024",
            "fax_number": "603-457-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOH",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-02",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NH",
            "license": "17205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.