Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Klayme-Shane Boucher, DO

Individual provider Hospitalist Physician · NPI 1689317141

Klayme-Shane Boucher, DO is a Hospitalist in San Antonio, Texas. Qualified in 2022, 4 years ago. Practices with Complete Care Medical Associates, a 39-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

12446 W Ave Ste 200
San Antonio, TX 78216-2530
Phone: (210) 525-1668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4502 Medical Dr, San Antonio, TX 78229-4402 — (210) 358-3555

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence V8588 (TX)
Hospitalist Physician Taxonomy 208M00000X · Licence V8588 (TX)

Record details

NPI number1689317141
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 13, 2022
Last updated in NPPESJuly 12, 2025
Certification dateJuly 12, 2025
Mailing address12446 West Ave Ste 200, San Antonio, TX 78216-2530

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Complete Care Medical Associates — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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