KENNETH MADSEN MD NPI 1164412862

NPI Information

  • NPI: 1164412862
  • Provider Name: KENNETH MADSEN, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1075 N CURTIS RD STE 101
    BOISE, ID
    ZIP 83706
  • Phone: (208) 302-2800

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NPI Details

Kenneth Madsen, MD is a vascular surgery surgery in Boise, ID with 32 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Kenneth Madsen, MD NPI is 1164412862. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

1075 N CURTIS RD STE 101
BOISE, ID
ZIP 83706-348
Phone: (208) 302-2800
Fax: (208) 302-2825

The NPI 1164412862 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes (HCPCS:99153)
  • Chemical destruction of first incompetent vein of arm or leg using imaging guidance (HCPCS:36482)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel (HCPCS:37253)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Injection of chemical agent into single incompetent vein of leg using ultrasound guidance (HCPCS:36465)
  • Ultrasound evaluation of blood vessel with review by radiologist, initial vessel (HCPCS:37252)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Review by radiologist of abdominal aorta image (HCPCS:75625)
  • Review by radiologist of both arms or legs arteries image (HCPCS:75716)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 10/24/2005 and was last updated on 10/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery6720AWYOMINGNo
2208600000XSurgery2018-01195NORTH CAROLINANo
32086S0129XSurgeryVascular Surgery6720AWYOMINGNo
42086S0129XSurgeryVascular SurgeryM-12372IDAHOYes
52086S0129XSurgeryVascular SurgeryME153722FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101371657MEDICAIDCOLORADO
2121692900MEDICAIDWYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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