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WILLIAM KOWALLIS
NPI 1053112227
Student in an Organized Health Care Education/Training Program in Boise, ID

Active since March 22, 2025PECOS Enrolled
500 W FORT ST # 111R, BOISE, ID 83702(208) 422-1000 Get Directions Write a Review

NPPES record last updated: March 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William Kowallis NPPES

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

WILLIAM KOWALLIS (NPI 1053112227) is an individual student in an organized health care education/training program in Boise, Idaho and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053112227
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWILLIAM KOWALLIS
Location Address500 W FORT ST # 111RBoise, ID 83702-4599
Mailing Address2511 S Nantucket WayBoise, ID 83706-5096 · (208) 890-3492
Phone(208) 422-1000
Sole ProprietorNo
Enumeration DateMarch 22, 2025
NPPES CertifiedMarch 22, 2025
✔ NPI 1053112227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
500 W FORT ST # 111R, Boise, ID 83702
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Kowallis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

SEYEDEHZEINAB MOUSAVI MD
Internal Medicine
500 W FORT ST # 111R
BOISE, ID 83702
Ada County (208) 422-1000
TAYLOR JENE MELLINGER DO
Internal Medicine
500 W FORT ST # 111R
BOISE, ID 83702
Ada County (208) 422-1000
CALEB ADDAI MENSAH MD
Internal Medicine
500 W FORT ST # 111R
BOISE, ID 83702
Ada County (208) 422-1000
CONNOR GUTHRIE
Internal Medicine
500 W FORT ST # 111R
BOISE, ID 83702
Ada County (208) 422-1000
MARIA CAMILA VARGAS
Internal Medicine
500 W FORT ST # 111R
BOISE, ID 83702
Ada County (208) 422-1314
DR. MATTHEW FONTE MD
Internal Medicine
500 W FORT ST # 111R
BOISE, ID 83702
Ada County (208) 422-1000
DR. COLVIN GREENBERG MD
Internal Medicine
500 W FORT ST # 111R
BOISE, ID 83702
Ada County (208) 422-1000
DR. TADAMASA IBA DO
Student in an Organized Health Care Education/Training Program
500 W FORT ST # 111R
BOISE, ID 83702
Ada County (425) 749-9123

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 William Kowallis's NPI number?

The NPI number for William Kowallis is 1053112227. It was assigned to this individual provider in the NPPES registry on March 22, 2025.

Where is William Kowallis located?

William Kowallis practices at 500 W Fort St # 111R, Boise, ID 83702. The listed phone number is (208) 422-1000.

What is William Kowallis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is William Kowallis enrolled in Medicare?

Yes. William Kowallis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Kowallis was last updated on March 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.