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DR. LAURA ANNE BOOMER MD
NPI 1629192836
Surgery - Pediatric Surgery in Richmond, VA

Active since March 16, 2007PECOS EnrolledAccepts Medicare Assignment
76.23/100
CMS Quality Rating
1250 E MARSHALL ST, RICHMOND, VA 23298(804) 828-3500(804) 828-8606 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Jul 21, 2022, Sep 18, 2017 (3 updates tracked since 2017).

About Dr. Laura Anne Boomer Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAURA ANNE BOOMER MD (NPI 1629192836) is an individual pediatric surgery provider in Richmond, Virginia, licensed in Virginia (0101252572) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Toledo College Of Medicine (2006).

NPPES Registry Identity

NPI1629192836
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameDR. LAURA ANNE BOOMERCredential: MD
Location Address1250 E MARSHALL STRichmond, VA 23298-5051
Mailing AddressPo Box 91734Richmond, VA 23291-1734 · (804) 358-6100 · Fax (804) 342-7619
Phone(804) 828-3500
Fax(804) 828-8606
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2006
Enumeration DateMarch 16, 2007
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
✔ NPI 1629192836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in VA · 0101252572
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
1250 E MARSHALL ST, Richmond, VA 23298
Open in Google Maps ↗

Other Identifiers 1

Other0101262572VA · Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Laura Anne Boomer Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517273238
PECOS Enrollment IDI20171107003479
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.58
Promoting Interoperability100
Improvement Activities40
Cost56.18

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEVIN YILMAZ MD
Student in an Organized Health Care Education/Training Program
1250 E MARSHALL ST
RICHMOND, VA 23298
Richmond City (804) 828-9783
MS. RENEE D SEAMAN NP
Nurse Practitioner (Family)
1250 E MARSHALL ST, GENERAL MEDICINE
RICHMOND, VA 23298
Richmond City (804) 828-3144
DR. AIMEE COLLINS MD
Internal Medicine
1250 E MARSHALL ST, INTERNAL MEDICINE
RICHMOND, VA 23298
Richmond City (804) 828-3144
MRS. MARY ELIZABETH O'BOYLE WILLIS FNP
Nurse Practitioner (Family)
1250 E MARSHALL ST, DEPARTMENT OF PEDIATRICS
RICHMOND, VA 23298
Richmond City (804) 628-0189
DR. AMY SAMANTHA MAY PAUL M.D.
Internal Medicine (Geriatric Medicine)
1250 E MARSHALL ST, DEPT. OF INTERNAL MEDICINE/GERIATRIC MEDICINE
RICHMOND, VA 23298
Richmond City (804) 254-3500
MRS. ERICA STOREY CLINE PA-C
Physician Assistant
1250 E MARSHALL ST, EMERGENCY MEDICINE
RICHMOND, VA 23298
Richmond City (804) 828-0996
CYNTHIA CHENAULT AGACNP
Nurse Practitioner (Acute Care)
1250 E MARSHALL ST
RICHMOND, VA 23298
Richmond City (804) 628-3646
DR. TAYLOR LATIA ROACH MD
Student in an Organized Health Care Education/Training Program
1250 E MARSHALL ST
RICHMOND, VA 23298
Richmond City (804) 628-7497

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Boomer's NPI number?

The NPI number for Laura Boomer is 1629192836. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Laura Boomer located?

Laura Boomer practices at 1250 E Marshall St, Richmond, VA 23298. The listed phone number is (804) 828-3500.

What is Laura Boomer's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Laura Boomer enrolled in Medicare?

Yes. Laura Boomer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Laura Boomer was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.