Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093719338 Individual Practitioner Male Practitioner

Dr. Keith G Boman , MD

Specialist • Las Vegas, NV

Professional Overview & Biography Verified Profile Summary

Dr. Keith Boman, MD is a registered healthcare professional specializing in Specialist in Las Vegas, NV. Practice services are available at 601 S RANCHO DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, ultrasound of heart with color-depicted blood flow, rate, direction and valve function. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

601 S Rancho Dr
Ste. D-28

Las Vegas, NV 891064899

Telephone 7023830677
Fax 7023830688
Associated Practice Facility / Clinic
🏢 Eddiepmd Inc Facility NPI 1306934443

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Las Vegas, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.7 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
161 Specialists

Practicing in Las Vegas, NV (310 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
139 113 $222.00 $110.15
93000 Routine ekg using at least 12 leads including interpretation and report
87 73 $35.00 $16.75
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
33 33 $426.00 $204.89
99213 Established patient office or other outpatient visit, typically 15 minutes
25 24 $152.00 $76.54
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician
23 23 $147.00 $70.07
99441 Telephone medical discussion with physician, 5-10 minutes
21 21 $106.00 $46.39
99442 Telephone medical discussion with physician, 11-20 minutes
19 19 $180.00 $76.45

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NV NV4089

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
002002951 (NV)
Commercial Insurance / Payer ID Bc/bs Indentifier
NV 2996 (NV)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Mary Dungey

Social Worker

NPI 1003695073
Dr. Edmund Pasimio , MD

Physical Medicine & Rehabilitation

NPI 1114015229

Doctor of Medicine (M.D.)

Dr. Edward Ruggeroli , DDS

Dentist - General Practice

NPI 1598829715

Doctor of Dental Surgery

NPI 1760242697
Isabel Martinez

Technician - Personal Care Attendant

NPI 1801649827
Dr. Felipe Paleracio , DDS

Dentist - General Practice

NPI 1851366413

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active February 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2017

Registered at 601 S RANCHO DR, STE. D-28, LAS VEGAS, NV 891064899 (Tel: 7023830677)

📍
Updated Business Mailing Address February 03, 2017

Registered at 9260 W. SUNSET RD, STE200, LAS VEGAS, NV 891484903 (Tel: 7022553547)

👤
Provider Name / Credentials Updated February 03, 2017

Recorded as KEITH BOMAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2017

Specialist (License #NV4089 in NV)

NPI Profile Active February 13, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 13, 2014

Registered at 601 S RANCHO DR, STE D28, LAS VEGAS, NV 891064827 (Tel: 7023830677)

📍
Updated Business Mailing Address February 13, 2014

Registered at 601 S RANCHO DR, STE D28, LAS VEGAS, NV 891064827 (Tel: 7023830677)

👤
Provider Name / Credentials Updated February 13, 2014

Recorded as KEITH BOMAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2014

Specialist (License #NV4089 in NV)

🟢
Initial NPI Registration & Enumeration June 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093719338
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2005
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

9260 W. Sunset Rd, Ste200

Las Vegas, NV 891484903

Phone: 7022553547

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.