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 Enrolled

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: October 18, 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.

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

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 Molina Healthcare, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodore Steven Roosevelt M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Theodore Roosevelt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Idaho Diabetes And Endocrine Associates, PA

Same address

Endocrinology, Diabetes & Metabolism

13909 W. WAINWRIGHT DRIVE
Boise, ID 83713

Reassigned Medicare billing, Idaho enrollment

NPI 1790960961 (208) 389-2213

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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.

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 enrollment system.

Which organization bills Medicare for Theodore Roosevelt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Roosevelt reassigns Medicare benefits to Idaho Diabetes And Endocrine Associates, PA (Boise, ID). The 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 Theodore Roosevelt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Roosevelt accept?

Health plans from Molina Healthcare 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.

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.