DECLAN P O'RIORDAN MD
NPI 1629016043
Pediatrics - Neonatal-Perinatal Medicine in Boise, ID

Q: What is Declan O'riordan's NPI number?

The NPI number for Declan O'riordan is 1629016043. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Q: What is Declan O'riordan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Declan O'riordan was last updated on September 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 04, 2006PECOS Enrolled

190 E BANNOCK ST, BOISE, ID 83712(208) 381-2088 Get Directions Write a Review

NPPES record last updated: September 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Declan P O'riordan Md NPPES

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

DECLAN P O'RIORDAN MD (NPI 1629016043) is an individual neonatal-perinatal medicine provider in Boise, Idaho, licensed in Idaho (M9130) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629016043

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDECLAN P O'RIORDANCredential: MD

Location Address190 E BANNOCK STBoise, ID 83712-6241

Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2088

Phone(208) 381-2088

Sole ProprietorNo

Enumeration DateJune 4, 2006

Last NPPES UpdateSeptember 11, 2012

✔ NPI 1629016043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in ID · M9130

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

190 E BANNOCK ST, Boise, ID 83712

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Declan P O'riordan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORA M SUAREZ NP

Nurse Practitioner (Neonatal, Critical Care)