NORTHWEST OCCUPATIONAL MEDICINE & NEUROSURGICAL SPINE INSTITUTE LLC
NPI 1619539897
Clinic/Center - Occupational Medicine in Boise, ID

Active since July 08, 2019
8921 W HACKAMORE DR, BOISE, ID 83709(208) 375-1105(208) 377-7707 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2022, Feb 22, 2021, Dec 9, 2019 and 2 more (5 updates tracked since 2019).

About Northwest Occupational Medicine & Neurosurgical Spine Institute Llc NPPES

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

NORTHWEST OCCUPATIONAL MEDICINE & NEUROSURGICAL SPINE INSTITUTE LLC (NPI 1619539897) is a healthcare organization registered as an occupational medicine in Boise, Idaho and active in the NPI registry since July 2019. The organization lists Paul Joseph Montalbano, Owner, as its authorized official.

NPPES Registry Identity

NPI1619539897
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameNORTHWEST OCCUPATIONAL MEDICINE & NEUROSURGICAL SPINE INSTITUTE LLC
Location Address8921 W HACKAMORE DRBoise, ID 83709-1673
Mailing Address6140 W Curtisian Ave Ste 400Boise, ID 83704-8907 · (208) 327-5631 · Fax (208) 327-5602
Fax(208) 377-7707
Organization SubpartNo
Authorized OfficialPaul Joseph MontalbanoOwner · (208) 327-5600
Enumeration DateJuly 8, 2019
Last NPPES UpdateMay 9, 20225 updates tracked since enumeration
NPPES CertifiedMay 9, 2022
✔ NPI 1619539897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
8921 W HACKAMORE DR, Boise, ID 83709

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)

Northwest Occupational Medicine & Neurosurgical Spine Institute Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Northwest Occupational Medicine & Neurosurgical Spine Institute LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1720753072
8921 W HACKAMORE DR
Boise, ID 83709
(208) 375-1105
✔ Accepts MedicareSame address
Neurosurgery
NPI 1699793661
6140 W CURTISIAN AVE STE 400
Boise, ID 83704
(208) 327-5600
✔ PECOS2.3 mi

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 Northwest Occupational Medicine & Neurosurgical Spine Institute LLC's NPI number?

The NPI number for Northwest Occupational Medicine & Neurosurgical Spine Institute LLC is 1619539897. It was assigned to this organization in the NPPES registry on July 8, 2019.

Where is Northwest Occupational Medicine & Neurosurgical Spine Institute LLC located?

Northwest Occupational Medicine & Neurosurgical Spine Institute LLC is located at 8921 W Hackamore Dr, Boise, ID 83709. The listed phone number is (208) 375-1105.

What is Northwest Occupational Medicine & Neurosurgical Spine Institute LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Is Northwest Occupational Medicine & Neurosurgical Spine Institute LLC enrolled in Medicare?

Yes. Northwest Occupational Medicine & Neurosurgical Spine Institute LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwest Occupational Medicine & Neurosurgical Spine Institute LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Northwest Occupational Medicine & Neurosurgical Spine Institute LLC, in Neurosurgery and Physical Therapist in Private Practice. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northwest Occupational Medicine & Neurosurgical Spine Institute LLC accept?

Health plans from Moda Health Plan, Inc. list Northwest Occupational Medicine & Neurosurgical Spine Institute LLC 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 Northwest Occupational Medicine & Neurosurgical Spine Institute LLC was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.