DR. JOHN KODATT MD
NPI 1083354039
Family Medicine in Nampa, ID

Q: What is John Kodatt's NPI number?

The NPI number for John Kodatt is 1083354039. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Q: What is John Kodatt's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for John Kodatt was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since March 29, 2022PECOS EnrolledAccepts Medicare Assignment

1510 12TH AVE RD STE 200, NAMPA, ID 83686(208) 302-6800(208) 302-6855 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2025, Sep 4, 2024 (2 updates tracked since 2024).

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About Dr. John Kodatt Md NPPES

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

DR. JOHN KODATT MD (NPI 1083354039) is an individual family medicine provider in Nampa, Idaho, licensed in Idaho (2171959) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083354039

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JOHN KODATTCredential: MD

Location Address1510 12TH AVE RD STE 200Nampa, ID 83686-6946

Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 302-9342

Phone(208) 302-6800

Fax(208) 302-6855

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 29, 2022

Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2025

✔ NPI 1083354039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · 2171959

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License R6281 (KY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1510 12TH AVE RD STE 200, Nampa, ID 83686

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Secondary Practice Locations 2

Location 1712 Aviation WayCaldwell, ID 83605-1154 · Phone (208) 302-7100 · Fax (208) 302-7155

Location 21325 N Race StGlasgow, KY 42141-3427 · Phone (270) 651-4865

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. John Kodatt 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 ID9234590076

PECOS Enrollment IDI20250424003205

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130007

Location1055 North Curtis RoadBoise, ID 83706 · Ada County

Emergency services Birthing friendly

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130013

Location4300 E Flamingo AveNampa, ID 83687 · Canyon County

Emergency services Birthing friendly

Saint Alphonsus Medical Center - Ontario

Acute Care Hospitals · Ontario, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380052

Location351 SW 9th StreetOntario, OR 97914 · Malheur County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83686 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

CURTIS DEAN NELSON DO

Family Medicine