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DR. JEREMY DAVID WALDRAM M.D.
NPI 1396972311
Allergy & Immunology in Boise, ID

Active since June 17, 2009PECOS EnrolledAccepts Medicare Assignment
1000 N CURTIS RD STE 303, BOISE, ID 83706(208) 377-4000 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 27, 2020, Oct 22, 2020 (2 updates tracked since 2020).

About Dr. Jeremy David Waldram M.d. NPPES

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

DR. JEREMY DAVID WALDRAM M.D. (NPI 1396972311) is an individual allergy & immunology provider in Boise, Idaho, licensed in Idaho (M-15024) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1396972311
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameDR. JEREMY DAVID WALDRAMCredential: M.D.
Location Address1000 N CURTIS RD STE 303Boise, ID 83706-1347
Mailing Address1000 N Curtis Rd Ste 303Boise, ID 83706-1347 · (208) 377-4000
Phone(208) 377-4000
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2009
Enumeration DateJune 17, 2009
Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
✔ NPI 1396972311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in ID · M-15024
Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Also ListedInternal MedicineTaxonomy 207R00000X · License 01069478A (IN)
1000 N CURTIS RD STE 303, Boise, ID 83706
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Secondary Practice Location 1

Location 1Naval Medical Ctr, 34800 Bob Wilson DrSan Diego, CA 92134-5000 · Phone (619) 216-0466

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeremy David Waldram M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698926855
PECOS Enrollment IDI20200729001127
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
3,615 services55 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
864 services31 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
801 services47 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
384 services20 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
351 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
77 services58 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON NICOLE CLARK NP-C
Nurse Practitioner
1000 N CURTIS RD STE 303
BOISE, ID 83706
Ada County (208) 377-4000
KINSLEY BONFILIO PA-C
Physician Assistant
1000 N CURTIS RD STE 303
BOISE, ID 83706
Ada County (208) 377-4000

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 Jeremy Waldram's NPI number?

The NPI number for Jeremy Waldram is 1396972311. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Where is Jeremy Waldram located?

Jeremy Waldram practices at 1000 N Curtis Rd Ste 303, Boise, ID 83706. The listed phone number is (208) 377-4000.

What is Jeremy Waldram's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Jeremy Waldram enrolled in Medicare?

Yes. Jeremy Waldram is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jeremy Waldram accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Select Health list Jeremy Waldram 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.

Is Jeremy Waldram affiliated with any hospitals?

According to CMS data, Jeremy Waldram is affiliated with St Luke's Regional Medical Center and Saint Alphonsus Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jeremy Waldram was last updated on October 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.