Klayme-Shane Boucher, DO
NPI 1689317141 · Internal Medicine Physician · San Antonio, TX
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Klayme-Shane Boucher, DO is a Internal Medicine Physician provider in San Antonio, TX (NPI 1689317141).
Provider details
- NPI number
- 1689317141
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- V8588 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 4502 Medical DrSan Antonio, TX 78229-4402Phone: (210) 358-3555
Registry dates
- Enumerated
- 2022-04-13
- Last updated
- 2025-07-12
- Certified
- 2025-07-12
Frequently asked questions
- What is Klayme-Shane Boucher's NPI number?
- Klayme-Shane Boucher's National Provider Identifier (NPI) is 1689317141, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Klayme-Shane Boucher's specialty?
- Klayme-Shane Boucher is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Klayme-Shane Boucher located?
- Klayme-Shane Boucher's practice location on file with NPPES is 12446 West Ave Ste 200, San Antonio, TX 78216-2530.
- What is Klayme-Shane Boucher's phone number?
- The practice phone number listed in the NPPES registry for Klayme-Shane Boucher is (210) 525-1668.
- Does Klayme-Shane Boucher accept Medicare?
- Klayme-Shane Boucher is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Klayme-Shane Boucher's NPI active?
- Yes — Klayme-Shane Boucher's NPI (1689317141) is active in the NPPES registry as of the last update on 2025-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.