ADRIAN BERTO BOSCOLO-HIGHTOWER (MD) – Emergency Medicine Physician, NPI 1174152201

ADRIAN BERTO BOSCOLO-HIGHTOWER (MD) is a healthcare provider. based in San dimas, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD61433458 (WA). The NPI Number for ADRIAN BERTO BOSCOLO-HIGHTOWER (MD) is 1174152201

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
ADRIAN BERTO BOSCOLO-HIGHTOWER (MD)
NPI
1174152201
Phone
(877) 346-2211
Address
180 VIA VERDE STE 100
Enumeration Date
1 April 2020
Last Update Date
22 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
2538337711
Graduation Year
2020 (6 years ago)
PAC ID
4587077383
Group Practice PAC ID
8527955871
Professional Enrollment ID
I20240906001011
Address ID
WA980014939AU202XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,209 EMERGENCY MEDICINE in WA

Provider Addresses for ADRIAN BERTO BOSCOLO-HIGHTOWER (MD)

  • 180 VIA VERDE STE 100

    SAN DIMAS, CA 917733993

    Phone: (877) 346-2211

    Fax: (407) 324-4727

    Type: Mailing

  • 325 9TH AVE 3EC-22 BOX 359702

    SEATTLE, WA 98104

    Phone: (206) 744-3000

    Type: Mailing

  • 325 9TH AVE # 3EC-22

    SEATTLE, WA 981042420

    Phone: (206) 744-3000

    Type: Location

  • 325 9th Ave # 3Ec-22

    Seattle, WA 981042420

    Phone: (206) 744-3000

    Type: Location

  • 202 N DIVISION ST

    AUBURN, WA 980014939

    Phone: (800) 225-0953

    Type: Location

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: 2024-09-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240906001011IEmergency MedicineWATBD

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.

Verify on CMS Revalidation Lookup Tool

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 91773)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527955871View full group profile
NameSpecialtyState
Emergency MedicineTX
Emergency MedicineWA
Emergency MedicineWA
-WA
-WA
Emergency MedicineWA
Emergency MedicineMD
Emergency MedicineMD
Emergency MedicineWA
Emergency MedicineWA

Reviews

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Frequently asked questions

Does ADRIAN BERTO BOSCOLO-HIGHTOWER (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ADRIAN BERTO BOSCOLO-HIGHTOWER (MD) uses 1174152201.
Does CMS list ADRIAN BERTO BOSCOLO-HIGHTOWER (MD) as active?
Yes — ADRIAN BERTO BOSCOLO-HIGHTOWER (MD) is active in the NPI listing used on this page.
What is ADRIAN BERTO BOSCOLO-HIGHTOWER (MD)'s specialty?
The listing groups ADRIAN BERTO BOSCOLO-HIGHTOWER (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does ADRIAN BERTO BOSCOLO-HIGHTOWER (MD) list a practice location?
Patients near San Dimas, California may find ADRIAN BERTO BOSCOLO-HIGHTOWER (MD) in results; validate coverage separately.
Why does ADRIAN BERTO BOSCOLO-HIGHTOWER (MD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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