REUBEN GUY HUDSON MD FAAP
NPI 1710995295
Urology - Pediatric Urology in Boise, ID

Q: What is Reuben Hudson's NPI number?

The NPI number for Reuben Hudson is 1710995295. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Q: What is Reuben Hudson's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Reuben Hudson was last updated on October 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 03, 2006PECOS Enrolled

305 E JEFFERSON ST, BOISE, ID 83712(208) 381-6196(208) 381-6199 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Reuben Guy Hudson Md Faap NPPES

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

REUBEN GUY HUDSON MD FAAP (NPI 1710995295) is an individual pediatric urology provider in Boise, Idaho, licensed in Idaho (7161277) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1710995295

Entity TypeIndividualMale

Primary Taxonomy2088P0231X

Provider Legal NameREUBEN GUY HUDSONCredential: MD FAAP

Location Address305 E JEFFERSON STBoise, ID 83712-6231

Mailing Address190 E Bannock StBoise, ID 83712-6241

Phone(208) 381-6196

Fax(208) 381-6199

Sole ProprietorNo

Enumeration DateAugust 3, 2006

Last NPPES UpdateOctober 11, 2024

NPPES CertifiedOctober 11, 2024

✔ NPI 1710995295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

License✔ Licensed in ID · 7161277

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

Also ListedUrologyTaxonomy 208800000X · License MD25800 (OR), MD00048852 (WA)

305 E JEFFERSON ST, Boise, ID 83712

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Secondary Practice Location 1

Location 11101 Madison St Ste 800, Swedish Pediatric Specialist ClinicSeattle, WA 98104-1306 · Phone (206) 215-2700 · Fax (206) 215-2702

Other Identifiers 2

Medicaid213391OR

Medicaid8425738WA

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.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)

Reuben Guy Hudson Md Faap 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.

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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.

HAILEY LIZABETH COLLETTE MS

Dietitian, Registered (Nutrition, Pediatric)