Samuel Boston, M.D.
Samuel Boston, M.D. is a Pediatric Gastroenterology Physician in Fort Wayne, IN, registered under NPI 1891130241.
Getting there
The practice address on file is 11123 PARKVIEW PLAZA DR STE 200, Fort Wayne, IN 46845. 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 |
|---|---|---|
| 01088906A | IN | Pediatric Gastroenterology Physician primary |
| 29983 | OK | Pediatric Gastroenterology Physician |
| E-12203 | AR | Pediatric Gastroenterology Physician |
Licences are recorded in 3 states: IN, OK, AR. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
Licensed in 3 states
This provider holds licences in 3 states: Arkansas, Indiana and Oklahoma. The practice address on file is in Fort Wayne, IN, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 01088906A
- Specialty
- Pediatric Gastroenterology Physician
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Pediatric Gastroenterology covers
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. NUCC Health Care Provider Taxonomy, code 2080P0206X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2080P0206X | Pediatric Gastroenterology Physician Pediatric Gastroenterology | 01088906A | IN | primary |
| 2080P0206X | Pediatric Gastroenterology Physician Pediatric Gastroenterology | 29983 | OK | |
| 2080P0206X | Pediatric Gastroenterology Physician Pediatric Gastroenterology | E-12203 | AR |
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 | 1891130241 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 29, 2013 |
| Last updated | Mar 23, 2023 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D. |
| Practice address |
11123 PARKVIEW PLAZA DR STE 200 Fort Wayne, IN 46845 (260) 425-6100 Fax (260) 425-6105 |
| Mailing address |
11109 PARKVIEW PLAZA DR # 117 Fort Wayne, IN 46845 |
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 | 8 | 9 | 1 | 1 | 3 | 0 | 2 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 9 | 1 | 2 | 3 | 0 | 2 | 8 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
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.