THEODORE STEVEN ROOSEVELT M.D.
NPI 1699754697
Internal Medicine - Endocrinology, Diabetes & Metabolism in Boise, ID

Q: What is Theodore Roosevelt's NPI number?

The NPI number for Theodore Roosevelt is 1699754697. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Q: What is Theodore Roosevelt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since January 10, 2006PECOS EnrolledAccepts Medicare Assignment

13909 W WAINWRIGHT DR, BOISE, ID 83713(208) 389-2213(208) 389-4659 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Theodore Steven Roosevelt M.d. NPPES

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

THEODORE STEVEN ROOSEVELT M.D. (NPI 1699754697) is an individual endocrinology, diabetes & metabolism provider in Boise, Idaho, licensed in Idaho (M6142) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of University Of Utah School Of Medicine (1974).

NPPES Registry Identity

NPI1699754697

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameTHEODORE STEVEN ROOSEVELTCredential: M.D.

Location Address13909 W WAINWRIGHT DRBoise, ID 83713-1969

Mailing Address13909 W Wainwright DrBoise, ID 83713-1969 · (208) 389-2213 · Fax (208) 389-4659

Phone(208) 389-2213

Fax(208) 389-4659

Sole ProprietorYes

Medical School CMSUniversity Of Utah School Of MedicineGraduated 1974

Enumeration DateJanuary 10, 2006

Last NPPES UpdateMay 17, 2018

✔ NPI 1699754697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in ID · M6142

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License M6142 (ID)

13909 W WAINWRIGHT DR, Boise, ID 83713

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Other Identifiers 1

Medicaid002712100ID

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theodore Steven Roosevelt M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153318274

PECOS Enrollment IDI20040429000405

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

282 services104 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

112 services40 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

38 services28 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

23 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130007

Location1055 North Curtis RoadBoise, ID 83706 · Ada County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

5 suppliers163 claims163 services$186.00 avg. paid by Medicare

Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554

DME-Other DME · category DE017N

2 suppliers12 claims12 services$198.28 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 3

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

DR. BENJAMIN WEBB D.C

Chiropractor

13909 W WAINWRIGHT DR
BOISE, ID 83713

Ada County (208) 322-7900

DR. JENNIFER PAULSON DNP, FNP-BC

Nurse Practitioner (Family)

13909 W WAINWRIGHT DR
BOISE, ID 83713

Ada County (208) 607-3738

ASPIRE WELLNESS PC

Clinic/Center (Primary Care)

13909 W WAINWRIGHT DR
BOISE, ID 83713

Ada County (208) 607-3738

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 Theodore Roosevelt's NPI number?

The NPI number for Theodore Roosevelt is 1699754697. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Theodore Roosevelt located?

Theodore Roosevelt practices at 13909 W Wainwright Dr, Boise, ID 83713. The listed phone number is (208) 389-2213.

What is Theodore Roosevelt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Theodore Roosevelt enrolled in Medicare?

Yes. Theodore Roosevelt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theodore Roosevelt accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Theodore Roosevelt 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.

Is Theodore Roosevelt affiliated with any hospitals?

According to CMS data, Theodore Roosevelt is affiliated with St Luke's Regional Medical Center and Saint Alphonsus Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Theodore Roosevelt was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.