KRISTIN BOOTH (DO) – Diagnostic Radiology Physician, NPI 1023264538

KRISTIN BOOTH (DO) is a healthcare provider. based in Detroit, Michigan. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials DO. They hold a License No. 5101017773 (MI). The NPI Number for KRISTIN BOOTH (DO) is 1023264538

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN BOOTH (DO)
NPI
1023264538
Phone
Not provided
Address
2799 W GRAND BLVD
Enumeration Date
15 August 2008
Last Update Date
21 November 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9896733141
Graduation Year
2008 (18 years ago)
PAC ID
5294969911
Group Practice PAC ID
2365968351
Professional Enrollment ID
I20131014000623
Address ID
MI487231476CA401XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,649 DIAGNOSTIC RADIOLOGY in MI

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Provider Addresses for KRISTIN BOOTH (DO)

  • Henry Ford Hospital, 2799, West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202, United States

    DETROIT, MI 482022608

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Boston Scientific Corporation ($56).

Total Amount

$56

General + Research + Ownership

Payments

3

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-10-14

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
I20131014000623IDiagnostic RadiologyMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77067Screening mammography378378$0
77063Screening 3d breast mammography330330$0
71045X-ray of chest, 1 view316283$0
70450Ct scan head or brain without contrast169161$0
77065Diagnostic mammography of 1 breast9791$0
View full utilization report →

Insurance plans in this area (ZIP 48202)

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Provider's Procedures

KRISTIN BOOTH (DO) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMI71010X-ray of chest, 1 view, front636500
DIAGNOSTIC RADIOLOGYMI73562X-ray of knee, 3 views2019
DIAGNOSTIC RADIOLOGYMI73630X-ray of foot, minimum of 3 views2522
DIAGNOSTIC RADIOLOGYMI93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers4848

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: 2365968351View full group profile
NameSpecialtyState
Internal MedicineMI
Internal MedicineMI
Physician AssistantMI
Emergency MedicineOH
Emergency MedicineMI
Emergency MedicineMI
Nurse PractitionerMI
Diagnostic RadiologyMI
Radiation Oncology, Diagnostic RadiologyMI
Physician AssistantMI

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Frequently asked questions

What NPI should I save for KRISTIN BOOTH (DO)?
Save NPI 1023264538 if you need a stable reference for KRISTIN BOOTH (DO).
Is KRISTIN BOOTH (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KRISTIN BOOTH (DO)?
The page reflects Diagnostic Radiology Physician for KRISTIN BOOTH (DO). Clinical services aligned with this taxonomy classification.
Where does public data place KRISTIN BOOTH (DO)?
The snapshot lists Detroit, Michigan for KRISTIN BOOTH (DO); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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