BOISE PATHOLOGY GROUP P.A.
NPI 1063466225
Pathology - Dermatopathology in Boise, ID
About Boise Pathology Group P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOISE PATHOLOGY GROUP P.A. (NPI 1063466225) is a healthcare organization registered as a dermatopathology in Boise, Idaho and active in the NPI registry since May 2006. The organization lists Richard Stillinger, Secretary-treasurer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Boise Pathology Group P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Boise Pathology Group P.A., which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.
Clinicians, nearest first (11)
Salt Lake City, UT 84112
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Boise Pathology Group P.A.'s NPI number?
The NPI number for Boise Pathology Group P.A. is 1063466225. It was assigned to this organization in the NPPES registry on May 20, 2006.
Where is Boise Pathology Group P.A. located?
Boise Pathology Group P.A. is located at 190 E Bannock St, Boise, ID 83712. The listed phone number is (208) 381-2367.
What is Boise Pathology Group P.A.'s specialty?
The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.
Is Boise Pathology Group P.A. enrolled in Medicare?
Yes. Boise Pathology Group P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Boise Pathology Group P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Pathology, reassign their Medicare billing to Boise Pathology Group P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Boise Pathology Group P.A. was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.
# Boise Pathology Group P.a. · NPI 1063466225
Dermatopathology organization in Boise, Idaho. Organization record, active in the CMS NPPES registry since May 20, 2006.
## Identity
- **NPI:** 1063466225 (Entity type: Organization)
- **Enumerated:** May 20, 2006
- **Primary specialty:** Pathology - Dermatopathology · taxonomy 207ZD0900X
- **Organization subpart:** No
- **Authorized official:** Richard Stillinger, SECRETARY-TREASURER
## Practice location
- **Address:** 190 E BANNOCK ST, Boise, ID 83712-6241
- **Phone:** (208) 381-2367
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians (Pathology) reassign Medicare billing to this organization (form CMS-855R); 6 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2026
- **Other identifiers:** Medicaid 805146400 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1063466225) · Data from the CMS NPPES public registry.