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IDAHO NEPHROLOGY ASSOCIATES, L.L.C
NPI 1598789950
Internal Medicine - Nephrology in Boise, ID

Active since July 27, 2006CLIA 13D0521881 · Microscopy
5610 GAGE ST, SUITE A, BOISE, ID 83706(208) 367-3370(208) 367-3003 Get Directions Write a Review

NPPES record last updated: January 8, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Idaho Nephrology Associates, L.l.c NPPES

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

IDAHO NEPHROLOGY ASSOCIATES, L.L.C (NPI 1598789950) is a healthcare organization registered as a nephrology in Boise, Idaho and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through November 17, 2027 and lists Micheal J Adcox, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1598789950
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameIDAHO NEPHROLOGY ASSOCIATES, L.L.C
Location Address5610 GAGE ST, SUITE ABoise, ID 83706-1349
Mailing Address5610 Gage St, Suite ABoise, ID 83706-1349 · (208) 367-3370 · Fax (208) 367-3003
Phone(208) 367-3370
Fax(208) 367-3003
Organization SubpartNo
Authorized OfficialMicheal J AdcoxManaging Partner · (208) 367-3370
Enumeration DateJuly 27, 2006
Last NPPES UpdateJanuary 8, 2008
✔ NPI 1598789950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
5610 GAGE ST, Boise, ID 83706
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Other Identifiers 5

Medicare PINR106532OR
OtherCD6921ID · Rr Medicare
Medicare ID-Type Unspecified1374536ID
Other000010006436ID · Blue Shield Of Idaho
Other8A133ID · Blue Cross Of Idaho

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 13D0521881

Idaho Nephrology Associates · Boise, ID
Active · expires Nov 17, 2027
CLIA Number13D0521881
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2025
Certificate Expiration DateNovember 17, 2027
Laboratory DirectorNicholas C. Hunt
Laboratory Phone(208) 501-8955
Laboratory LocationIdaho Nephrology Associates5610 W Gage St #a, Boise, ID 83706
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

DR. JON PARKER WAGNILD MD
Internal Medicine (Nephrology)
5610 GAGE ST, SUITE A
BOISE, ID 83706
Ada County (208) 367-3370
SAINT ALPHONSUS NEPHROLOGY CENTER
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
5610 GAGE ST
BOISE, ID 83706
Ada County (208) 367-3076

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 Idaho Nephrology Associates, L.L.C's NPI number?

The NPI number for Idaho Nephrology Associates, L.L.C is 1598789950. It was assigned to this organization in the NPPES registry on July 27, 2006.

Where is Idaho Nephrology Associates, L.L.C located?

Idaho Nephrology Associates, L.L.C is located at 5610 Gage St Suite A, Boise, ID 83706. The listed phone number is (208) 367-3370.

What is Idaho Nephrology Associates, L.L.C's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Idaho Nephrology Associates, L.L.C hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D0521881) is associated with this NPI, valid through November 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Idaho Nephrology Associates, L.L.C was last updated on January 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.