EXODUS PAIN CLINIC
NPI 1366849572
Pain Medicine - Interventional Pain Medicine in Boise, ID
About Exodus Pain Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EXODUS PAIN CLINIC (NPI 1366849572) is a healthcare organization registered as an interventional pain medicine in Boise, Idaho and active in the NPI registry since December 2014. The organization holds a CLIA Certificate of Compliance certificate valid through July 10, 2027 and lists Daniel Marsh, Md/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Exodus Pain Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Exodus Pain Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Compliance 13D2075881
Exodus Pain Clinic · 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 Exodus Pain Clinic's NPI number?
The NPI number for Exodus Pain Clinic is 1366849572. It was assigned to this organization in the NPPES registry on December 3, 2014.
Where is Exodus Pain Clinic located?
Exodus Pain Clinic is located at 987 S Allante Pl, Boise, ID 83709. The listed phone number is (208) 947-7246.
What is Exodus Pain Clinic's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Exodus Pain Clinic enrolled in Medicare?
Yes. Exodus Pain Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Exodus Pain Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Exodus Pain Clinic, 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Exodus Pain Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 13D2075881) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Exodus Pain Clinic was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Exodus Pain Clinic · NPI 1366849572
Interventional Pain Medicine organization in Boise, Idaho. Organization record, active in the CMS NPPES registry since December 3, 2014.
## Identity
- **NPI:** 1366849572 (Entity type: Organization)
- **Enumerated:** December 3, 2014
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Organization subpart:** No
- **Authorized official:** Daniel Marsh, MD/OWNER
## Practice location
- **Address:** 987 S ALLANTE PL, Boise, ID 83709-1612
- **Phone:** (208) 947-7246 · **Fax:** (208) 297-7772
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Physical Medicine and Rehabilitation (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 22, 2023
- **Other identifiers:** Medicaid 1356377535 (ID)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1366849572) · Data from the CMS NPPES public registry.