DR. KENNETH JEROME BOOMGAARD M.D. NPI 1427047034

NPI Information

  • NPI: 1427047034
  • Provider Name: DR. KENNETH JEROME BOOMGAARD, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3RD MEDICAL GROUP, ELMENDORF REGIONAL MEDICAL CENTER
    5955 ZEAMER AVE
    ELMENDORF AFB, AK
    ZIP 99506
  • Phone: (907) 580-2956

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NPI Details

DR. Kenneth Jerome Boomgaard, M.D. is a family medicine in Elmendorf Afb, AK with 31 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Kenneth Jerome Boomgaard, M.D. NPI is 1427047034. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

3RD MEDICAL GROUP, ELMENDORF REGIONAL MEDICAL CENTER
5955 ZEAMER AVE
ELMENDORF AFB, AK
ZIP 99506-700
Phone: (907) 580-2956
Fax: (907) 580-2308

The NPI 1427047034 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Testing for presence of drug, by chemistry analyzers (HCPCS:80307)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml (HCPCS:Q9966)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Injection, midazolam hydrochloride, per 1 mg (HCPCS:J2250)
  • Infusion, normal saline solution, 250 cc (HCPCS:J7050)
  • Electronic analysis reprogramming and refill of spinal canal drug infusion pump (HCPCS:62369)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection, fentanyl citrate, 0.1 mg (HCPCS:J3010)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)

The enumeration date for this NPI number is 10/17/2005 and was last updated on 7/8/2007.

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
1207Q00000XFamily Medicine4301071073MICHIGANYes

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: 11/21/2025

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