Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Madsen, MD

Individual provider Surgery Physician · NPI 1164412862

Kenneth Madsen, MD is a Vascular Surgery in Boise, Idaho. Graduated from George Washington University School of Medicine in 1993, 33 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Idaho, North Carolina and Wyoming.

Years since qualifying
33
Trained at
George Washington University School of Medicine
Licensed in
FL, ID, NC, WY
In the registry since
2005
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1075 N Curtis Rd Ste 101
Boise, ID 83706-1348
Phone: (208) 302-2800
Fax: (208) 302-2825
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 208 Cox Blvd Ste 201, Goldsboro, NC 27534-9414 — (919) 587-3333

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence M-12372 (ID)
Surgery Physician Taxonomy 208600000X · Licence 6720A (WY)
Surgery Physician Taxonomy 208600000X · Licence 2018-01195 (NC)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 6720A (WY)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence ME153722 (FL)

Record details

NPI number1164412862
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023
Mailing address3810 Northdale Blvd, Ste 150, Tampa, FL 33624-1871

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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