DR. KEVIN M BOEHM (D.O.) – Emergency Medicine Physician, NPI 1184845646

DR. KEVIN M BOEHM (D.O.) is a healthcare provider. based in Plantation, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5101016466 (MI). The NPI Number for DR. KEVIN M BOEHM (D.O.) is 1184845646

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN M BOEHM (D.O.)
NPI
1184845646
Phone
Not provided
Address
7700 W SUNRISE BLVD # 200
Enumeration Date
1 May 2007
Last Update Date
29 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2005 (21 years ago)
PAC ID
8426119843
Group Practice PAC ID
5991793002
Professional Enrollment ID
I20180321001244
Address ID
FL333162510FO1600XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

Provider Addresses for DR. KEVIN M BOEHM (D.O.)

  • 7700 W SUNRISE BLVD # 200

    PLANTATION, FL 333224113

    Phone:

    Mailing address matches the actual address.

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: 2018-03-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081204000081IEmergency MedicineMITBD
I20180321001244IEmergency MedicineFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making242224$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only8376$0
99284Emergency department visit with moderate level of medical decision making2727$0
99291Critical care, first 30-74 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 33322)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991793002View full group profile
NameSpecialtyState
Emergency MedicineFL
-FL
Emergency MedicineFL
Emergency MedicineAZ
Emergency MedicineTX
Internal Medicine, Emergency Medicine, Emergency MedicineTX
Emergency MedicineIL
-FL
-NY
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I verify DR. KEVIN M BOEHM (D.O.) with an NPI only?
You can start verification with NPI 1184845646 for DR. KEVIN M BOEHM (D.O.), then check state licensing separately.
Does the file indicate DR. KEVIN M BOEHM (D.O.) is practicing under active NPI?
Directory data currently reports DR. KEVIN M BOEHM (D.O.) as active.
What taxonomy line describes DR. KEVIN M BOEHM (D.O.)?
For research purposes, treat DR. KEVIN M BOEHM (D.O.) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KEVIN M BOEHM (D.O.) on a map?
Expect Plantation, Florida as a primary anchor for DR. KEVIN M BOEHM (D.O.) unless the record lists multiple sites.
Why does DR. KEVIN M BOEHM (D.O.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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