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DR. ROBERT J DIGERONIMO MD
NPI 1497788426
Pediatrics - Neonatal-Perinatal Medicine in Boise, ID

Active since July 10, 2006PECOS Enrolled
190 E BANNOCK ST, BOISE, ID 83712(208) 381-2088(208) 381-2893 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2025, Sep 27, 2021 (2 updates tracked since 2021).

About Dr. Robert J Digeronimo Md NPPES

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

DR. ROBERT J DIGERONIMO MD (NPI 1497788426) is an individual neonatal-perinatal medicine provider in Boise, Idaho, licensed in Idaho (M-16862) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lackland A F B.

NPPES Registry Identity

NPI1497788426
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. ROBERT J DIGERONIMOCredential: MD
Location Address190 E BANNOCK STBoise, ID 83712-6241
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-8752
Phone(208) 381-2088
Fax(208) 381-2893
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1497788426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in ID · M-16862✔ Licensed in TX · K9518
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
190 E BANNOCK ST, Boise, ID 83712
Open in Google Maps ↗

Secondary Practice Location 1

Location 12200 Bergquist Dr Ste 1, ATTN: CREDENTIALS (CMC)Lackland A F B, TX 78236-9908 · Phone (210) 541-8281 ext. 221 · Fax (210) 541-9123

Other Identifiers 1

Medicaid0375487-03TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert J Digeronimo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Robert Digeronimo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Lukes Clinic-Treasure Valley LLC
Same address
Family Medicine
190 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1326336058 (208) 381-2222
Association Of Chmc And University Physicians
239 mi
Pediatrics
969 STEVENS DR, SUITE 1B
Richland, WA 99352
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: The Association Of Chrmc And University Physicians
  • 1,443 clinicians in this Medicare group
NPI 1851680664 (509) 946-0976
University Of Utah Pediatric Acuity Care
297 mi
Pediatric Emergency Medicine
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 202 clinicians in this Medicare group
NPI 1538523675 (801) 587-6336
The Association Of University Physicians
405 mi
Anesthesiology
701 5TH AVE, SUITE 700
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 4,364 clinicians in this Medicare group
NPI 1023041159 (206) 543-6420

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

NORA M SUAREZ NP
Nurse Practitioner (Neonatal, Critical Care)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2222
REBECCA WENSEL P.T.
Physical Therapist
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2138
JENNIFER WOODBURN
Nurse Practitioner
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
MURRY ODONNELL
Occupational Therapist (Feeding, Eating & Swallowing)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-7275
KAITLIN EDMINSTEN DNP, AGACNP-BC
Nurse Practitioner (Acute Care)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
ALLISON ELISABETH MAY
Nurse Anesthetist, Certified Registered
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2222
DR. MICHAEL FREDERIC KRUG M.D.
Internal Medicine
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
HEATHER CAREW M.D.
Pediatrics
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2645

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 Robert Digeronimo's NPI number?

The NPI number for Robert Digeronimo is 1497788426. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Robert Digeronimo located?

Robert Digeronimo practices at 190 E Bannock St, Boise, ID 83712. The listed phone number is (208) 381-2088.

What is Robert Digeronimo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Robert Digeronimo enrolled in Medicare?

Yes. Robert Digeronimo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Robert Digeronimo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Digeronimo reassigns Medicare benefits to 4 organizations: St Lukes Clinic-Treasure Valley LLC (Boise, ID), Association Of Chmc And University Physicians (Richland, WA), University Of Utah Pediatric Acuity Care (Salt Lake City, UT) and The Association Of University Physicians (Seattle, WA). Each 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 Robert Digeronimo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Digeronimo accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Sendero Health Plans, Local Nonprofit list Robert Digeronimo 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 Robert Digeronimo was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.