DR. EUGENE H III VANDENBOOM (M.D.) – Obstetrics & Gynecology Physician, NPI 1316986516

DR. EUGENE H III VANDENBOOM (M.D.) is a healthcare provider. based in Lees summit, Missouri. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials M.D.. They hold a License No. R5C01 (MO). The NPI Number for DR. EUGENE H III VANDENBOOM (M.D.) is 1316986516

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. EUGENE H III VANDENBOOM (M.D.)
NPI
1316986516
Phone
(816) 282-7809
Address
20 NE SAINT LUKES BLVD
Enumeration Date
5 June 2006
Last Update Date
1 September 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
8162827809
Graduation Year
1981 (45 years ago)
PAC ID
4082666748
Group Practice PAC ID
4082628219
Professional Enrollment ID
I20050210000920
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. EUGENE H III VANDENBOOM (M.D.)

  • Northeast Saint Luke's Boulevard, Lee's Summit, Jackson County, Missouri, 64065, United States

    SUITE 310

    LEES SUMMIT, MO 640866001

    Phone: (816) 282-7809

    Fax: (816) 282-7870

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 64086)

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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: 4082628219View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMO
Nurse PractitionerKS
-KS
O B S T E T R I C S/ G Y N E C O L O G YKS
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YOH
O B S T E T R I C S/ G Y N E C O L O G YMO

Reviews

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Frequently asked questions

How do I look up DR. EUGENE H III VANDENBOOM (M.D.) by NPI?
Use NPI 1316986516 when you need to reference DR. EUGENE H III VANDENBOOM (M.D.) in forms, claims, or directories.
Is DR. EUGENE H III VANDENBOOM (M.D.) active in the national directory?
DR. EUGENE H III VANDENBOOM (M.D.)'s public NPI profile is in an active state.
What does DR. EUGENE H III VANDENBOOM (M.D.) treat or focus on?
Patients typically see DR. EUGENE H III VANDENBOOM (M.D.) under the specialty Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. EUGENE H III VANDENBOOM (M.D.)'s primary listing?
We display Lees Summit, Missouri because that is what the record indicates for DR. EUGENE H III VANDENBOOM (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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