SOUTHWEST IDAHO EAR, NOSE AND THROAT
NPI 1306823125
Otolaryngology in Boise, ID

Active since December 22, 2005CLIA 13D0521880 · Waiver
900 N LIBERTY ST, STE 400, BOISE, ID 83704(208) 367-3320(208) 367-7474 Get Directions Write a Review

NPPES record last updated: June 1, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Southwest Idaho Ear, Nose And Throat NPPES

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

SOUTHWEST IDAHO EAR, NOSE AND THROAT (NPI 1306823125) is a healthcare organization registered as an otolaryngology in Boise, Idaho and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through September 12, 2027 and lists Arthur C Jones, President, as its authorized official.

NPPES Registry Identity

NPI1306823125
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameSOUTHWEST IDAHO EAR, NOSE AND THROAT
Location Address900 N LIBERTY ST, STE 400Boise, ID 83704-8704
Mailing Address900 N Liberty St, Ste 400Boise, ID 83704-8704 · (208) 367-3320 · Fax (208) 367-7474
Fax(208) 367-7474
Organization SubpartNo
Authorized OfficialArthur C JonesPresident · (208) 367-3320
Enumeration DateDecember 22, 2005
Last NPPES UpdateJune 1, 2010
✔ NPI 1306823125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
900 N LIBERTY ST, Boise, ID 83704

Other Identifiers 1

Medicare PIN1375148

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southwest Idaho Ear, Nose And Throat is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Southwest Idaho Ear, Nose And Throat, which bills Medicare for the services they deliver. Of these, 14 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Otolaryngology8
Qualified Audiologist7
Nurse Practitioner1

Clinicians, nearest first (16)

Qualified Audiologist
NPI 1437320082
900 N LIBERTY ST STE 400
Boise, ID 83704
(208) 367-3320
✔ Accepts MedicareSame address
Otolaryngology
NPI 1225011893
900 N LIBERTY ST STE 400
Boise, ID 83704
(208) 367-3320
✔ PECOSSame address
Otolaryngology
NPI 1619067436
900 N LIBERTY ST. STE 400
Boise, ID 83704
(208) 367-3320
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1477725158
900 N LIBERTY ST STE 400
Boise, ID 83704
(208) 367-3320
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1609563766
900 N LIBERTY ST STE 305
Boise, ID 83704
(208) 367-7429
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1447143961
900 N LIBERTY ST STE 305
Boise, ID 83704
(208) 336-4368
✔ Accepts MedicareSame address
Otolaryngology
NPI 1033748660
900 N LIBERTY ST STE 400
Boise, ID 83704
(208) 336-4368
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1346706520
900 N LIBERTY ST STE 400
Boise, ID 83704
(208) 367-3320
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1326435249
900 N LIBERTY ST STE 400
Boise, ID 83704
(208) 367-3320
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1295579068
900 N LIBERTY ST STE 400
Boise, ID 83704
(208) 336-4368
✔ Accepts MedicareSame address
Otolaryngology
NPI 1457706228
900 N LIBERTY ST STE 400
Boise, ID 83704
(208) 336-4368
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1275114308
900 N LIBERTY ST STE 305
Boise, ID 83704
(208) 367-7429
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1588460968
900 N LIBERTY ST STE 400
Boise, ID 83704
(208) 336-4368
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1417453382
900 N LIBERTY ST STE 400
Boise, ID 83704
(208) 336-4368
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1194215426
365 COOPER POINT RD NW STE 102
Olympia, WA 98502
(360) 704-7900
✔ Accepts Medicare403 mi
Otolaryngology
NPI 1013398833
915 OLENTANGY RIVER RD STE 4000
Columbus, OH 43212
(614) 293-9215
✔ PECOS✔ Accepts Medicare1,723 mi

Source: 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

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 Waiver 13D0521880

Southwest Idaho Ear Nose And Throat PA · Boise, ID
Active · expires Sep 12, 2027
CLIA Number13D0521880
Laboratory TypePhysician Office
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorRyan Van De Graaff
Laboratory Phone(208) 367-3320
Laboratory LocationSouthwest Idaho Ear Nose And Throat PA900 N Liberty St #400, Boise, ID 83704
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Southwest Idaho Ear, Nose And Throat's NPI number?

The NPI number for Southwest Idaho Ear, Nose And Throat is 1306823125. It was assigned to this organization in the NPPES registry on December 22, 2005.

Where is Southwest Idaho Ear, Nose And Throat located?

Southwest Idaho Ear, Nose And Throat is located at 900 N Liberty St Ste 400, Boise, ID 83704. The listed phone number is (208) 367-3320.

What is Southwest Idaho Ear, Nose And Throat's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Southwest Idaho Ear, Nose And Throat enrolled in Medicare?

Yes. Southwest Idaho Ear, Nose And Throat is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southwest Idaho Ear, Nose And Throat?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 3 Medicare specialties reassign their Medicare billing to Southwest Idaho Ear, Nose And Throat. 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 Otolaryngology (8), Qualified Audiologist (7) and Nurse Practitioner (1). Of these, 14 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southwest Idaho Ear, Nose And Throat hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D0521880) is associated with this NPI, valid through September 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southwest Idaho Ear, Nose And Throat accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Southwest Idaho Ear, Nose And Throat 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 Southwest Idaho Ear, Nose And Throat was last updated on June 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.