Michael Boedefeld, MD
Michael Boedefeld, MD is a Pain Medicine (Anesthesiology) Physician in Fenton, MO, registered under NPI 1043299548. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 1055 BOWLES AVE STE 202, Fenton, MO 63026. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 2004009978 | MO | Pain Medicine (Anesthesiology) Physician primary |
| 2004009978 | MO | Anesthesiology Physician |
This provider holds licence 2004009978 issued in MO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Interventional Pain Management
- PAC ID
- 2567403066
Medicare enrolment is recorded as approved under the provider type Practitioner - Interventional Pain Management. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pain Medicine covers
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. NUCC Health Care Provider Taxonomy, code 207LP2900X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207LP2900X | Pain Medicine (Anesthesiology) Physician Pain Medicine | 2004009978 | MO | primary |
| 207L00000X | Anesthesiology Physician | 2004009978 | MO |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1043299548 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jan 12, 2006 |
| Last updated | Oct 20, 2020 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
1055 BOWLES AVE STE 202 Fenton, MO 63026 (636) 386-7222 Fax (636) 386-7810 |
| Mailing address |
4800 MEXICO RD STE 101 Saint Peters, MO 63376 |
| Other identifiers |
207320102
(MO) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 4 | 3 | 2 | 9 | 9 | 5 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 8 | 3 | 4 | 9 | 9 | 5 | 8 |
Sum = 72 · next multiple of 10 = 80 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.