REBECCA J BOSCALJON (MD) – Pediatrics Physician, NPI 1023095379
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
268 PEDIATRIC MEDICINE in IA
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Provider Addresses for REBECCA J BOSCALJON (MD)
Social Sciences Research Center, 605, East Jefferson Street, Iowa City, Johnson County, Iowa, 52242, United States
IOWA CITY, IA 522452426
Phone: (319) 351-1448
Fax: (319) 351-9367
Type: Mailing
880 Seven Hills Dr Ste 100
Henderson, NV 890524372
Phone: (702) 457-5437
Type: Location
3201 S MARYLAND PKWY STE 608
LAS VEGAS, NV 891092428
Phone: (702) 457-5437
Fax: (702) 464-5801
Type: Mailing
200 HAWKINS DR
IOWA CITY, IA 522421009
Phone:
Type: Mailing
2593 HOLIDAY RD
CORALVILLE, IA 522412781
Phone: (319) 339-1231
Fax: (319) 688-2930
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: 2025-12-16
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 |
|---|---|---|---|---|
| I20251216005064 | I | Pediatric Medicine | NV | 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 52245)
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