NPIMap

Individual provider Active NPI

Geoffrey Andrew Boisvert, MD

  • Surgery Physician
  • Wichita, KS
National Provider Identifier
1790280360
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0450020 Issued in KS
Practice address
3243 E Murdock St Ste 404
Wichita, KS 67208-3007
Phone
(316) 685-6222
NPI assigned
Mar 27, 2018
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 0450020 KS
Surgery Physician 208600000X 0450020 KS Primary

Addresses

Primary practice location

3243 E Murdock St Ste 404
Wichita, KS 67208-3007

Mailing address

424 N Rutan St
Wichita, KS 67208-3217
Phone (864) 567-8301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241112001297 KS Practitioner - General Surgery 9436407848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of South Carolina School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Surgical Consultants LLPGroup PAC ID 8224023445, 21 clinicians

Practice addresses (Care Compare)

3243 E Murdock St
Wichita, KS 67208-3007
Phone (316) 685-6222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux11
Removal of tissue12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0450020KSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Surgical Consultants, LLP Surgery CurrentSince Oct 1, 2024 Accepting new patients
Evms Academic Physicians and Surgeons Health Services Foundation Surgery Past Accepting new patients
Central Plains Cardiothoracic Surgery, LLC PastSince Nov 17, 2024 Accepting new patients
Wesley Medical Center LLC Past Accepting new patients

Locations

3243 E Murdock St
Ste 404
Wichita, KS 67208
Phone (316) 685-6222

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1790280360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N RUTAN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083217",
            "telephone_number": "864-567-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3243 E MURDOCK ST STE 404",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083007",
            "telephone_number": "316-685-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOISVERT",
        "first_name": "GEOFFREY",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "KS",
            "license": "0450020",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "0450020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.