IDAHO GASTROENTEROLOGY ASSOCIATES, LLP
NPI 1265427256
Internal Medicine - Gastroenterology in Boise, ID
About Idaho Gastroenterology Associates, Llp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IDAHO GASTROENTEROLOGY ASSOCIATES, LLP (NPI 1265427256) is a healthcare organization registered as a gastroenterology in Boise, Idaho and active in the NPI registry since September 2005. The organization holds 2 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Eddy Mclane, Director Of Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Idaho Gastroenterology Associates, Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
33Medicare enrollment records show 33 clinicians reassign Medicare billing to Idaho Gastroenterology Associates, LLP, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 33Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 13D2224264
Idaho Gastroenterology Associates Histology Laboratory · Nampa, IDCertificate of Waiver 13D0928832
Idaho Gastroenterology Associates · Meridian, IDFrequently 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 Idaho Gastroenterology Associates, LLP's NPI number?
The NPI number for Idaho Gastroenterology Associates, LLP is 1265427256. It was assigned to this organization in the NPPES registry on September 15, 2005.
Where is Idaho Gastroenterology Associates, LLP located?
Idaho Gastroenterology Associates, LLP is located at 425 W Bannock St, Boise, ID 83702. The listed phone number is (208) 343-1702.
What is Idaho Gastroenterology Associates, LLP's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Idaho Gastroenterology Associates, LLP enrolled in Medicare?
Yes. Idaho Gastroenterology Associates, LLP is registered in the Medicare PECOS enrollment system.
When is Idaho Gastroenterology Associates, LLP's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Idaho Gastroenterology Associates, LLP?
According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 4 Medicare specialties reassign their Medicare billing to Idaho Gastroenterology Associates, LLP. 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. The largest specialties are Gastroenterology (14), Nurse Practitioner (13) and Pathology (4). Of these, 8 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Idaho Gastroenterology Associates, LLP hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Idaho Gastroenterology Associates, LLP accept?
Health plans from Molina Healthcare list Idaho Gastroenterology Associates, LLP as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Idaho Gastroenterology Associates, LLP was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 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.
# Idaho Gastroenterology Associates, Llp · NPI 1265427256
Gastroenterology organization in Boise, Idaho. Organization record, active in the CMS NPPES registry since September 15, 2005.
## Identity
- **NPI:** 1265427256 (Entity type: Organization)
- **Enumerated:** September 15, 2005
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Organization subpart:** No
- **Authorized official:** Eddy Mclane, DIRECTOR OF FINANCE
## Practice location
- **Address:** 425 W BANNOCK ST, Boise, ID 83702-6035
- **Phone:** (208) 343-1702 · **Fax:** (208) 342-7042
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Idaho, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 33 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Gastroenterology (14), Nurse Practitioner (13), Pathology (4); 8 practice at this address and 13 within 10 miles; [full list](https://npiprofile.com/npi/1265427256/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2026
- **Other identifiers:** Medicaid 002799000 (ID)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1265427256) · Data from the CMS NPPES public registry.