Mary Rose Boehm MD PA
NPI 1053402156 · Internal Medicine Physician · Clermont, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Rose Boehm MD PA is a Internal Medicine Physician organization in Clermont, FL (NPI 1053402156).
Provider details
- NPI number
- 1053402156
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Boehm, President(352) 242-1430
- License
- ME 88288 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2020-08-22
Frequently asked questions
- What is Mary Rose Boehm MD PA's NPI number?
- Mary Rose Boehm MD PA's National Provider Identifier (NPI) is 1053402156, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary Rose Boehm MD PA?
- Mary Rose Boehm MD PA is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mary Rose Boehm MD PA located?
- Mary Rose Boehm MD PA's practice location on file with NPPES is 200 E Highland Ave, Clermont, FL 34711-2582.
- What is Mary Rose Boehm MD PA's phone number?
- The practice phone number listed in the NPPES registry for Mary Rose Boehm MD PA is (352) 242-1430.
- Does Mary Rose Boehm MD PA accept Medicare?
- Mary Rose Boehm MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mary Rose Boehm MD PA?
- The authorized official listed on Mary Rose Boehm MD PA's NPPES record is Mary Boehm, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary Rose Boehm MD PA's NPI active?
- Yes — Mary Rose Boehm MD PA's NPI (1053402156) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.