Doctor profile · Federal record
Dr. Mary Boontung
Family Nurse Practitioner (CMS: Nurse Practitioner) · Gilbert, AZ
- NPI 1790567816
- Accepts Medicare
- 3 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3458 E Casa Mader Dr
Gilbert, AZ 852984202
(310) 989-9710
Credentials & registration
- NPI registered
- October 2023 — 3 yrs on file
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Arizona #220096
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1790567816. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$145
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Pharmaceuticals, Inc | 1 | $144.98 |
By nature of payment
Frequently asked questions
What is Dr. Mary Boontung's medical specialty?
Dr. Mary Boontung practices Family Nurse Practitioner in Gilbert, AZ.
Where does Dr. Mary Boontung practice?
Dr. Mary Boontung practices at 3458 E Casa Mader Dr, Gilbert, AZ 852984202. Office phone: 3109899710.
What is Dr. Mary Boontung's NPI?
Dr. Mary Boontung's National Provider Identifier (NPI) is 1790567816, issued by NPPES.
Does Dr. Mary Boontung accept Medicare assignment?
Yes. Dr. Mary Boontung accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.