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

Peter Boothman, MD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1588018170

Peter Boothman, MD is a Dermatology in Meridian, Idaho. Graduated from University of Washington School of Medicine in 2016, 10 years ago. Practices with Ada West Dermatology, PC, a 26-clinician group and accepts Medicare assignment. Licensed in Alabama and Idaho.

Years since qualifying
10
Trained at
University of Washington School of Medicine
Licensed in
AL, ID
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1618 S Millenium Way Ste 100
Meridian, ID 83642-6457
Phone: (208) 884-3376
Fax: (208) 884-0858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence M-17515 (ID)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence MD.36224 (AL)

Record details

NPI number1588018170
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 20, 2016
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address1618 S Millenium Way Ste 100, Meridian, ID 83642-6457

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Also practisesMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Ada West Dermatology, P.C. — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Meridian