Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHERINE ROSE MACDONALD MD
NPI 1740570365
Pediatrics - Adolescent Medicine in Boise, ID

Q: What is Katherine Macdonald's NPI number?

The NPI number for Katherine Macdonald is 1740570365. It was assigned to this individual provider in the NPPES registry on April 15, 2011.

Q: What is Katherine Macdonald's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since April 15, 2011PECOS Enrolled

305 E JEFFERSON ST, BOISE, ID 83712(208) 381-1871(208) 381-1872 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 27, 2026, Aug 15, 2022, Aug 21, 2019 (3 updates tracked since 2019).

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About Katherine Rose Macdonald Md NPPES

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

KATHERINE ROSE MACDONALD MD (NPI 1740570365) is an individual adolescent medicine provider in Boise, Idaho, licensed in Idaho (2381822) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740570365

Entity TypeIndividualFemale

Primary Taxonomy2080A0000X

Provider Legal NameKATHERINE ROSE MACDONALDCredential: MD

Location Address305 E JEFFERSON STBoise, ID 83712-6231

Mailing Address190 E Bannock StBoise, ID 83712-6241

Phone(208) 381-1871

Fax(208) 381-1872

Sole ProprietorYes

Enumeration DateApril 15, 2011

Last NPPES UpdateAugust 27, 20263 updates tracked since enumeration

NPPES CertifiedAugust 27, 2026

✔ NPI 1740570365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in ID · 2381822

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

305 E JEFFERSON ST, Boise, ID 83712

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Rose Macdonald 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.

Medicare Billing Reassignment

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

Advance Community Health, Inc

2,045 mi

Federally Qualified Health Center (FQHC)

400 S WEST ST
Raleigh, NC 27601

Reassigned Medicare billing, North Carolina enrollment
92 clinicians in this Medicare group

NPI 1285186080 (919) 833-3111

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

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)