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DR. TADAMASA IBA DO
NPI 1154269256
Student in an Organized Health Care Education/Training Program in Boise, ID

Active since March 23, 2026PECOS Enrolled
500 W FORT ST # 111R, BOISE, ID 83702(425) 749-9123 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tadamasa Iba Do NPPES

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

DR. TADAMASA IBA DO (NPI 1154269256) is an individual student in an organized health care education/training program in Boise, Idaho and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154269256
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. TADAMASA IBACredential: DO
Location Address500 W FORT ST # 111RBoise, ID 83702-4501
Mailing Address500 W Fort St # 111rBoise, ID 83702-4501 · (208) 422-1314
Phone(425) 749-9123
Sole ProprietorNo
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 23, 2026
✔ NPI 1154269256 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)

Dr. Tadamasa Iba Do 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
WILLIAM KOWALLIS
Student in an Organized Health Care Education/Training Program
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

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 Tadamasa Iba's NPI number?

The NPI number for Tadamasa Iba is 1154269256. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Tadamasa Iba located?

Tadamasa Iba practices at 500 W Fort St # 111R, Boise, ID 83702. The listed phone number is (425) 749-9123.

What is Tadamasa Iba's specialty?

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

Is Tadamasa Iba enrolled in Medicare?

Yes. Tadamasa Iba is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tadamasa Iba was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.