RIVER CITY SURGICAL CENTER
NPI 1558733147
Clinic/Center - Ambulatory Surgical in Boise, ID
About River City Surgical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIVER CITY SURGICAL CENTER (NPI 1558733147) is a healthcare organization registered as an ambulatory surgical in Boise, Idaho and active in the NPI registry since October 2015. The organization lists Roy Rogers, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
River City Surgical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to River City Surgical Center, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 River City Surgical Center's NPI number?
The NPI number for River City Surgical Center is 1558733147. It was assigned to this organization in the NPPES registry on October 22, 2015.
Where is River City Surgical Center located?
River City Surgical Center is located at 10118 W Overland Rd, Boise, ID 83709. The listed phone number is (208) 887-2233.
What is River City Surgical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is River City Surgical Center enrolled in Medicare?
Yes. River City Surgical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through River City Surgical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to River City Surgical Center. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does River City Surgical Center accept?
Health plans from PacificSource Health Plans and Select Health list River City Surgical Center 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 River City Surgical Center was last updated on August 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# River City Surgical Center · NPI 1558733147
Ambulatory Surgical organization in Boise, Idaho. Organization record, active in the CMS NPPES registry since October 22, 2015.
## Identity
- **NPI:** 1558733147 (Entity type: Organization)
- **Enumerated:** October 22, 2015
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Roy Rogers, MEMBER
## Practice location
- **Address:** 10118 W OVERLAND RD, Boise, ID 83709-1428
- **Phone:** (208) 887-2233
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Oral Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2016
---
Source: [NPI Profile](https://npiprofile.com/npi/1558733147) · Data from the CMS NPPES public registry.