DR. KATHRYN T BOENTE (MD) – Obstetrics & Gynecology Physician, NPI 1780691576
Obstetrics & Gynecology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,008 OBSTETRICS/GYNECOLOGY in CA
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Provider Addresses for DR. KATHRYN T BOENTE (MD)
395, Hickey Boulevard, Daly City, San Mateo County, California, 94015, United States
DALY CITY, CA 940152770
Phone: (650) 752-2173
Fax: (650) 301-4631
Type: Location
3625 W 65TH ST
SUITE 100
EDINA, MN 554352106
Phone: (952) 920-7001
Fax: (952) 345-0472
Type: Mailing
3625, West 65th Street, Southdale, Edina, Hennepin County, Minnesota, 55435, United States
SUITE 100
EDINA, MN 55435
Phone: (952) 920-7001
Fax: (952) 345-0472
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-12-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171220001370 | I | Obstetrics/Gynecology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94015)
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