DR. RYAN DAVID BOEHM (M.D.) – Interventional Cardiology Physician, NPI 1124342159

DR. RYAN DAVID BOEHM (M.D.) is a healthcare provider. based in Wakefield, Rhode Island. specializing in INTERVENTIONAL CARDIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD20203 (RI). The NPI Number for DR. RYAN DAVID BOEHM (M.D.) is 1124342159

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. RYAN DAVID BOEHM (M.D.)
NPI
1124342159
Phone
(401) 789-5770
Address
70 KENYON AVE
Enumeration Date
19 March 2010
Last Update Date
2 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4017377010
Graduation Year
2010 (16 years ago)
PAC ID
8022397595
Group Practice PAC ID
0244413391
Professional Enrollment ID
I20241014004223
Address ID
RI028862759WA455XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

46 INTERVENTIONAL CARDIOLOGY in RI

Provider Addresses for DR. RYAN DAVID BOEHM (M.D.)

  • 70 KENYON AVE

    WAKEFIELD, RI 028794239

    Phone: (401) 789-5770

    Fax: (401) 889-5082

    Type: Location

  • 455 TOLL GATE RD

    WARWICK, RI 028862759

    Phone: (401) 737-7010

    Type: Mailing

  • 100 Kenyon Ave

    Wakefield, RI 028794216

    Phone: (401) 782-8000

    Fax: (401) 788-3830

    Type: Location

  • 3461 S County Trl

    East Greenwich, RI 028181465

    Phone: (401) 471-6440

    Fax: (401) 889-5082

    Type: Location

  • 455 Toll Gate Rd

    Warwick, RI 028862759

    Phone: (401) 737-7010

    Fax: (401) 736-4546

    Type: Location

  • 1514 JEFFERSON HWY

    NEW ORLEANS, LA 701212429

    Phone: (504) 842-4000

    Type: Mailing

  • 2820 NAPOLEON AVE

    NEW ORLEANS, LA 701156969

    Phone: (504) 894-2560

    Fax: (504) 842-2563

    Type: Location

  • PMR Stronghold, 1395, Northwest 167th Street, Miami Gardens, Miami-Dade County, Florida, 33169, United States

    MIAMI, FL 331695710

    Phone: (504) 264-5142

    Fax: (504) 455-2648

    Type: Mailing

  • Houma Boulevard, Metairie, Jefferson Parish, Louisiana, 70001, United States

    METAIRIE, LA 700064203

    Phone: (504) 264-5142

    Fax: (504) 455-2648

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $277.

Total Amount is formed as General ($277) + Research ($0) + Ownership ($0) = $277.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($74).

Total Amount

$277

General + Research + Ownership

Payments

16

Total payment records

General Amount

$277

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

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: 2024-10-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190831000176IInterventional CardiologyLATBD
I20241014004223IInterventional CardiologyRITBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only266220$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function125121$0
99214Established patient office or other outpatient visit, 30-39 minutes8346$0
99215Established patient office or other outpatient visit, 40-54 minutes6630$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5627$0
View full utilization report →

Insurance plans in this area (ZIP 02879)

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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: 0244413391View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YRI
Internal MedicineRI
Physician AssistantRI
A N E S T H E S I O L O G YRI
A N E S T H E S I O L O G YRI
Cardiovascular Disease (Cardiology), Interventional Cardiology, Interventional Cardiology, Cardiovascular Disease (Cardiology)RI
Cardiovascular Disease (Cardiology)MA
Internal Medicine, Pulmonary Disease, Pulmonary DiseaseMA
O B S T E T R I C S/ G Y N E C O L O G YNY
-RI

Reviews

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Frequently asked questions

What federal number belongs to DR. RYAN DAVID BOEHM (M.D.)?
The federal identifier for DR. RYAN DAVID BOEHM (M.D.) is NPI 1124342159.
Is DR. RYAN DAVID BOEHM (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. RYAN DAVID BOEHM (M.D.) list a primary specialty?
If you are matching referrals, note Interventional Cardiology Physician for DR. RYAN DAVID BOEHM (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. RYAN DAVID BOEHM (M.D.)?
We surface Wakefield, Rhode Island for DR. RYAN DAVID BOEHM (M.D.) based on available NPPES addresses.
Is DR. RYAN DAVID BOEHM (M.D.) a real provider?
This page reflects official NPPES data for NPI 1124342159. Always confirm identity and privileges with the practice and licensing boards.

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