1. Home
  2. Directory
  3. Idaho
  4. Eagle
  5. Specialist
  6. NPI Profile

IDAHO SURGICAL PARTNERS, PC
NPI 1598817348
Specialist in Eagle, ID

Active since January 18, 2007
323 E RIVERSIDE DR STE 220, EAGLE, ID 83616(208) 343-5600 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 30, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Idaho Surgical Partners, Pc NPPES

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

IDAHO SURGICAL PARTNERS, PC (NPI 1598817348) is a healthcare organization registered as a specialist in Eagle, Idaho and active in the NPI registry since January 2007. The organization maintains 2 additional practice locations and lists Ami Yantis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1598817348
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameIDAHO SURGICAL PARTNERS, PC
Location Address323 E RIVERSIDE DR STE 220Eagle, ID 83616-5246
Mailing AddressPo Box 2045Eagle, ID 83616-9110 · (208) 343-5600 · Fax (208) 779-2889
Phone(208) 343-5600
Organization SubpartNo
Authorized OfficialAmi YantisAdministrator · (208) 649-8347
Enumeration DateJanuary 18, 2007
Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1598817348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in ID · M6834
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
323 E RIVERSIDE DR STE 220, Eagle, ID 83616
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1166 W Jefferson StBoise, ID 83702-6124 · Phone (208) 343-5600 · Fax (208) 345-4398
Location 21906 Fairview Ave Ste 140Caldwell, ID 83605-5433 · Phone (208) 343-5600

Other Identifiers 2

Medicaid002779400ID
Medicaid807305800ID

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare.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)

Idaho Surgical Partners, Pc 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 Idaho Surgical Partners, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Matthew Macha, MD
General Surgery
NPI 1730190836
323 E RIVERSIDE DR STE 220
Eagle, ID 83616
(208) 343-5600
✔ PECOS✔ Accepts MedicareSame address

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 Idaho Surgical Partners, PC's NPI number?

The NPI number for Idaho Surgical Partners, PC is 1598817348. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Idaho Surgical Partners, PC located?

Idaho Surgical Partners, PC is located at 323 E Riverside Dr Ste 220, Eagle, ID 83616. The listed phone number is (208) 343-5600.

What is Idaho Surgical Partners, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Idaho Surgical Partners, PC enrolled in Medicare?

Yes. Idaho Surgical Partners, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Idaho Surgical Partners, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Idaho Surgical Partners, PC. 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 Idaho Surgical Partners, PC accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Idaho Surgical Partners, PC 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 Idaho Surgical Partners, PC was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.