DR. BOONKIT PURT (MD) – Ophthalmology Physician, NPI 1376903377

DR. BOONKIT PURT (MD) is a healthcare provider. based in Fort belvoir, Virginia. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 01078922A (IN). The NPI Number for DR. BOONKIT PURT (MD) is 1376903377

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. BOONKIT PURT (MD)
NPI
1376903377
Phone
(571) 231-1595
Address
9300 DeWitt Loop
Enumeration Date
3 March 2016
Last Update Date
1 January 2025

Doctor Profile

Medical School Name
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4259006222
Graduation Year
2016 (10 years ago)
PAC ID
7315340379
Group Practice PAC ID
5496191462
Professional Enrollment ID
I20250326000150
Address ID
WA980278127IS1740XSTXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:10State licenses:2Digital endpointsOther names

565 OPHTHALMOLOGY in VA

Provider Addresses for DR. BOONKIT PURT (MD)

  • 9300 DeWitt Loop

    Fort Belvoir, VA 220605285

    Phone: (571) 231-1595

    Type: Location

  • 8901 Wisconsin Ave

    Bethesda, MD 208891912

    Phone: (301) 295-1339

    Type: Location

  • Wisconsin Avenue, Brookdale, Bethesda, Montgomery County, Maryland, 20016-2137, United States

    BETHESDA, MD 20889

    Phone: (301) 295-1339

    Type: Location

  • 9040 JACKSON AVENUE

    TACOMA, WA 984310001

    Phone: (301) 295-1339

    Type: Mailing

  • 9040 FITZSIMMONS DR

    JOINT BASE LEWIS MCCHORD, WA 984311000

    Phone: (253) 968-1760

    Type: Location

  • 1000 WALL ST

    ANN ARBOR, MI 481051912

    Phone: (734) 764-4190

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $204.

Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Alcon Vision LLC ($121).

Total Amount

$204

General + Research + Ownership

Payments

4

Total payment records

General Amount

$204

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-03-26

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250326000150IOphthalmologyWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9685$0
92134Imaging of retina9287$0
67028Injection of drug into eye4542$0
765122d ultrasound scan of eye tissue and structures3832$0
67113Complex repair of detached retina and drainage of eye fluid between lens and retina1412$0
View full utilization report →

Insurance plans in this area (ZIP 22060)

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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: 5496191462View full group profile
NameSpecialtyState
O P H T H A L M O L O G YWA

Reviews

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Frequently asked questions

What NPI should I save for DR. BOONKIT PURT (MD)?
Save NPI 1376903377 if you need a stable reference for DR. BOONKIT PURT (MD).
Does this profile mean DR. BOONKIT PURT (MD) is currently active?
Yes — DR. BOONKIT PURT (MD) appears active in the national provider directory.
What does DR. BOONKIT PURT (MD) treat or focus on?
Patients typically see DR. BOONKIT PURT (MD) under the specialty Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. BOONKIT PURT (MD)?
We surface Fort Belvoir, Virginia for DR. BOONKIT PURT (MD) based on available NPPES addresses.
How can I contact DR. BOONKIT PURT (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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