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Kenneth Madsen, MD

Vascular Surgery Physician in Boise, ID · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164412862

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Registry record

Entity type Individual (Type 1)
Name Kenneth Madsen
Credential MD
Sex Male
Practice address 1075 N Curtis Rd Ste 101, Boise, ID, 83706
Phone (208) 302-2800
Fax (208) 302-2825
Enumeration date Oct 24, 2005
Last updated in NPPES Oct 24, 2023

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 6720A (WY) Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 2018-01195 (NC) Secondary
2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License 6720A (WY) Secondary
2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License M-12372 (ID) Primary
2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License ME153722 (FL) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
01371657 Medicaid CO -
121692900 Medicaid WY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Kenneth Madsen's NPI record?
Cross-check NPI 1164412862 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1164412862 active?
Yes, as of the latest NPPES snapshot, NPI 1164412862 is active (record last updated 2023-10-24).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-24.