ALLIANCE MEDICAL GROUP, LLC
NPI 1497991749
Family Medicine in Boise, ID
About Alliance Medical Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALLIANCE MEDICAL GROUP, LLC (NPI 1497991749), doing business as Primary Health Medical Group, is a healthcare organization registered as a family medicine in Boise, Idaho and active in the NPI registry since December 2008. The organization lists Linda Barnes, Credentialing Mgr, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alliance Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
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 Alliance Medical Group, LLC's NPI number?
The NPI number for Alliance Medical Group, LLC is 1497991749. It was assigned to this organization in the NPPES registry on December 16, 2008. The provider is doing business as Primary Health Medical Group.
Where is Alliance Medical Group, LLC located?
Alliance Medical Group, LLC is located at 1907 Broadway Ave Suite 101, Boise, ID 83706. The listed phone number is (208) 345-1222.
What is Alliance Medical Group, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Alliance Medical Group, LLC enrolled in Medicare?
Yes. Alliance Medical Group, LLC is registered in the Medicare PECOS enrollment system.
When is Alliance Medical Group, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Idaho, Physician - General Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
When was this NPI record last updated?
The NPPES record for Alliance Medical Group, LLC was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Alliance Medical Group, Llc · NPI 1497991749
Family Medicine organization in Boise, Idaho. Organization record, active in the CMS NPPES registry since December 16, 2008.
## Identity
- **NPI:** 1497991749 (Entity type: Organization)
- **Enumerated:** December 16, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Primary Health Medical Group (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Linda Barnes, CREDENTIALING MGR
## Practice location
- **Address:** 1907 BROADWAY AVE, SUITE 101, Boise, ID 83706-4201
- **Phone:** (208) 345-1222 · **Fax:** (208) 345-1261
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (DME, Idaho, Physician - General Practice) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** February 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1497991749) · Data from the CMS NPPES public registry.