IDAHO NEPHROLOGY ASSOCIATES L.L.C NPI 1598789950

NPI Information

NPI: 1598789950
Provider Name: IDAHO NEPHROLOGY ASSOCIATES, L.L.C
Classification: Internal Medicine - 207RN0300X
Specialization: Nephrology
Entity Type: Organization
CLIA Number: 13D0521881
Address: 5610 GAGE ST
SUITE A
BOISE, ID
ZIP 83706
Phone: (208) 367-3370

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NPI Details

IDAHO NEPHROLOGY ASSOCIATES, L.L.C is a nephrology internal medicine in Boise, ID. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. IDAHO NEPHROLOGY ASSOCIATES, L.L.C NPI is 1598789950. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5610 GAGE ST
SUITE A
BOISE, ID
ZIP 83706-349
Phone: (208) 367-3370
Fax: (208) 367-3003

The provider's authorized official is Micheal J Adcox .
The authorized official title is Managing Partner and has the following contact phone number (208) 367-3370.

The CLIA number assigned to this NPI record is 13D0521881 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/27/2006 and was last updated on 1/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R106532	MEDICARE PIN	OREGON
2	CD6921	OTHER	IDAHO	RR MEDICARE
3	1374536	MEDICARE ID-TYPE UNSPECIFIED	IDAHO
4	000010006436	OTHER	IDAHO	BLUE SHIELD OF IDAHO
5	8A133	OTHER	IDAHO	BLUE CROSS OF IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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