Individual provider Active NPI

Boeldridge McClain, MD

  • Anesthesiology Physician
  • San Luis, AZ
National Provider Identifier
1992772446
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
30909 Issued in AZ
Practice address
151 S Oak Ave Ste 6
San Luis, AZ 85336-0756
Phone
(928) 662-0409
Fax
(928) 662-0410
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 14954 HI
Pain Medicine (Anesthesiology) Physician 207LP2900X 30909 AZ
Anesthesiology Physician 207L00000X 30909 AZ Primary
Anesthesiology Physician 207L00000X 44175 WI
Anesthesiology Physician 207L00000X ME102957 FL
Anesthesiology Physician 207L00000X 061624 GA
Pain Medicine Physician 208VP0000X 30909 AZ
Anesthesiology Physician 207L00000X 4301093420 MI

Addresses

Primary practice location

151 S Oak Ave Ste 6
San Luis, AZ 85336-0756

Mailing address

PO Box 617
Somerton, AZ 85350-0617
Phone (928) 662-0406

Other practice location 1

1266 E Caroline Ln
Tempe, AZ 85284-3363
Phone (623) 512-3893

Other identifiers 1

IdentifierTypeStateIssuer
920703MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040324001572 AZ Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 9234020413 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Medical College of Wisconsin, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Canyon Anesthesia LLCGroup PAC ID 3678824752, 50 clinicians
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (480) 666-7850

18699 N 67TH Ave
Suite 140
Glendale, AZ 85308-7144
Phone (623) 376-8600

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

Hospital & facility affiliations

  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013
  • City of Hope Cancer Center Phoenix Hospital, Goodyear, AZ, CCN 030138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME102957FLMDAnesthesiology Physician
061624GAMDAnesthesiology Physician
14954HIMDAnesthesiology Physician
4301093420MIMDAnesthesiology Physician
44175WIMDAnesthesiology Physician
30909AZMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Regional Medical Center CurrentSince Aug 26, 2024 Accepting new patients
Anesthesia Partners of Arizona LLC Anesthesiology CurrentSince Aug 1, 2019 Accepting new patients
Grand Canyon Anesthesia LLC Anesthesiology CurrentSince Mar 1, 2022 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Mar 1, 2020 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Mar 1, 2020 Accepting new patients
Asap Anesthesia, LLC Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients
Yuma Regional Medical Center CurrentSince Aug 26, 2024 Accepting new patients
Anesthesia Medical Professionals, PC Past Accepting new patients

Locations

895 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 899-3737

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

18699 N 67th Ave
Ste 140
Glendale, AZ 85308
Phone (623) 376-8600

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6003 E Baseline Rd
Mesa, AZ 85206
Phone (480) 641-6500

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

2345 E Thomas Rd
Ste 400
Phoenix, AZ 85016
Phone (602) 343-2900

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

2525 W Greenway Rd
Ste 125
Phoenix, AZ 85023
Phone (480) 640-0513

240 W Thomas Rd
Phoenix, AZ 85013
Phone (602) 406-3552

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

2000 E Southern Ave
Ste 102
Tempe, AZ 85282
Phone (480) 820-9141

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

Interoperability endpoints

  • Direct secure messaging: bmcclain143915@cityofhope.direct-ci.com

Organizations & group practices 10

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1992772446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853500617",
            "telephone_number": "928-662-0406",
            "fax_number": "928-662-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S OAK AVE STE 6",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853360756",
            "telephone_number": "928-662-0409",
            "fax_number": "928-662-0410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1266 E Caroline Ln",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852843363",
            "country_code": "US",
            "telephone_number": "623-512-3893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "BOELDRIDGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "HI",
            "license": "14954",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "30909",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "30909",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "44175",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME102957",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "061624",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "30909",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301093420",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "920703",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis, AZ

Sources for this page

Verify at the official NPI Registry.