IDAHO JOINT AND SPINE LLC
NPI 1356759781
Physical Medicine & Rehabilitation in Boise, ID
About Idaho Joint And Spine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IDAHO JOINT AND SPINE LLC (NPI 1356759781) is a healthcare organization registered as a physical medicine & rehabilitation in Boise, Idaho and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through November 16, 2026 and lists James A Whitaker, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
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)
Idaho Joint And Spine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Idaho Joint And Spine LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 13D2121978
Idaho Joint And Spine LLC · Boise, 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 Joint And Spine LLC's NPI number?
The NPI number for Idaho Joint And Spine LLC is 1356759781. It was assigned to this organization in the NPPES registry on July 29, 2014.
Where is Idaho Joint And Spine LLC located?
Idaho Joint And Spine LLC is located at 1760 N Mitchell St, Boise, ID 83704. The listed phone number is (208) 322-5922.
What is Idaho Joint And Spine LLC's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Idaho Joint And Spine LLC enrolled in Medicare?
Yes. Idaho Joint And Spine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Idaho Joint And Spine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Idaho Joint And Spine LLC, in Nurse Practitioner and Physical Medicine and Rehabilitation. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Idaho Joint And Spine LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 13D2121978) is associated with this NPI, valid through November 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Idaho Joint And Spine LLC accept?
Health plans from Moda Health Plan, Inc. list Idaho Joint And Spine LLC 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 Joint And Spine LLC was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.