LISA KRISTEN BOOHAR (MD) – Radiation Oncology Physician, NPI 1063403707
Radiation Oncology Physician
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Profile Insights
NPPES metrics only — not quality of care.
677 RADIATION ONCOLOGY in CA
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Provider Addresses for LISA KRISTEN BOOHAR (MD)
4301 NORTHSTAR WAY
MODESTO, CA 953569262
Phone: (209) 342-2300
Fax: (209) 524-4240
Type: Mailing
Sequoia Hospital, 170, Alameda de las Pulgas, Redwood City, San Mateo County, California, 94062, United States
REDWOOD CITY, CA 940622751
Phone: (209) 342-2300
Fax: (209) 524-4240
Type: Location
4301 N STAR WAY
MODESTO, CA 953569262
Phone: (209) 342-2300
Fax: (209) 524-4240
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-01-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060110001184 | I | Radiation Oncology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 95356)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| RADIATION ONCOLOGY | CA | 77427 | Radiation treatment management, 5 treatments | 45 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | DC | |
| - | CA | |
| N E U R O S U R G E R Y | MA | |
| Internal Medicine | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| - | MA | |
| Emergency Medicine | CA | |
| - | CA | |
| Internal Medicine | NY |
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