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DR. VIVEK KANTAYYA MD
NPI 1437132479
Family Medicine in Boise, ID

Active since November 23, 2005
300 S 23RD ST, BOISE, ID 83702(208) 344-3512(208) 344-4898 Get Directions Write a Review

NPPES record last updated: June 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Vivek Kantayya Md NPPES

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

DR. VIVEK KANTAYYA MD (NPI 1437132479) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (M-12703) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1437132479
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. VIVEK KANTAYYACredential: MD
Location Address300 S 23RD STBoise, ID 83702-9100
Mailing Address3063 S Old Hickory StBoise, ID 83716-5812 · (815) 871-3628
Phone(208) 344-3512
Fax(208) 344-4898
Sole ProprietorNo
Enumeration DateNovember 23, 2005
Last NPPES UpdateJune 9, 2015
✔ NPI 1437132479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in ID · M-12703✔ Licensed in IL · 036081072
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
300 S 23RD ST, Boise, ID 83702
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Other Identifiers 3

Medicaid036081072IL
Medicare UPIN20006392ID
Medicare UPINE46721IL

Other Providers at the Same Location NPPES 20

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

JOSEPH P DIGRAZIA LCPC
Counselor
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512
MARY GOODSPEED PMHNP
Nurse Practitioner
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512
MATTHEW WILSON MD
Family Medicine
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512
KENDRA M LUTES LCPC
Counselor
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 345-1170
MELISSA ANN MEZO LCSW
Social Worker (Clinical)
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 345-1170
KATHRYN A WICK NP
Nurse Practitioner (Psychiatric/Mental Health)
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512
BRIAN LEE COLLINS LMSW
Social Worker
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 345-1170
DEVIN R PUGMIRE PSS
Peer Specialist
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512

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 Vivek Kantayya's NPI number?

The NPI number for Vivek Kantayya is 1437132479. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Vivek Kantayya located?

Vivek Kantayya practices at 300 S 23rd St, Boise, ID 83702. The listed phone number is (208) 344-3512.

What is Vivek Kantayya's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Vivek Kantayya was last updated on June 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.