IDAHO UROLOGIC INSTITUTE PA
NPI 1689620692
Urology in Meridian, ID
About Idaho Urologic Institute Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IDAHO UROLOGIC INSTITUTE PA (NPI 1689620692) is a healthcare organization registered as an urology in Meridian, Idaho and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 7, 2027 and lists Todd Waldamann, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 8
Group Practice 1
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)
Idaho Urologic Institute Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Idaho Urologic Institute PA, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 13 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (15)
Morgantown, WV 26506
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 of Compliance 13D0977077
Idaho Urologic Institute · Meridian, IDFrequently 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 Urologic Institute PA's NPI number?
The NPI number for Idaho Urologic Institute PA is 1689620692. It was assigned to this organization in the NPPES registry on May 25, 2006.
Where is Idaho Urologic Institute PA located?
Idaho Urologic Institute PA is located at 2855 E Magic View Dr, Meridian, ID 83642. The listed phone number is (208) 639-4900.
What is Idaho Urologic Institute PA's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Idaho Urologic Institute PA enrolled in Medicare?
Yes. Idaho Urologic Institute PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Idaho Urologic Institute PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Idaho Urologic Institute PA. 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. The largest specialties are Urology (13), Nurse Practitioner (1) and Obstetrics/Gynecology (1). Of these, 5 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Idaho Urologic Institute PA hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 13D0977077) is associated with this NPI, valid through January 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Idaho Urologic Institute PA accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 36 other insurers list Idaho Urologic Institute PA 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 Urologic Institute PA was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Idaho Urologic Institute Pa · NPI 1689620692
Urology organization in Meridian, Idaho. Organization record, active in the CMS NPPES registry since May 25, 2006.
## Identity
- **NPI:** 1689620692 (Entity type: Organization)
- **Enumerated:** May 25, 2006
- **Primary specialty:** Urology · taxonomy 208800000X
- **Organization subpart:** No
- **Authorized official:** Todd Waldamann, MANAGER
## Practice location
- **Address:** 2855 E MAGIC VIEW DR, Meridian, ID 83642-6245
- **Phone:** (208) 639-4900 · **Fax:** (208) 639-4939
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Urology (13), Nurse Practitioner (1), Obstetrics/Gynecology (1); 5 practice at this address and 13 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 22, 2021
- **Other identifiers:** Other 000010006729 (ID); Other 000010152026 (ID); Other 8M783 (ID); and 5 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1689620692) · Data from the CMS NPPES public registry.