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DIGESTIVE HEALTH CLINIC LLC
NPI 1750498333
Internal Medicine - Gastroenterology in Boise, ID

Active since August 23, 2006
6259 W EMERALD ST, BOISE, ID 83704(208) 489-1900(208) 375-5286 Get Directions Write a Review

NPPES record last updated: July 24, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Digestive Health Clinic Llc NPPES

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

DIGESTIVE HEALTH CLINIC LLC (NPI 1750498333) is a healthcare organization registered as a gastroenterology in Boise, Idaho and active in the NPI registry since August 2006. The organization lists Mark A Mallory, Manager, as its authorized official.

NPPES Registry Identity

NPI1750498333
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameDIGESTIVE HEALTH CLINIC LLC
Location Address6259 W EMERALD STBoise, ID 83704-8731
Mailing Address6259 W Emerald StBoise, ID 83704-8731 · (208) 489-1900 · Fax (208) 375-5286
Phone(208) 489-1900
Fax(208) 375-5286
Organization SubpartNo
Authorized OfficialMark A MalloryManager · (208) 489-1900
Enumeration DateAugust 23, 2006
Last NPPES UpdateJuly 24, 2020
NPPES CertifiedJuly 24, 2020
✔ NPI 1750498333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
6259 W EMERALD ST, Boise, ID 83704
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Other Identifiers 1

Medicaid807631700ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare.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)

Digestive Health Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

23

Medicare enrollment records show 23 clinicians reassign Medicare billing to Digestive Health Clinic LLC, which bills Medicare for the services they deliver. Of these, 18 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Gastroenterology17
Pathology5
Colorectal Surgery (Proctology)1

Nearest to this location (20)

See all 23
Jeffrey Bank, M.D.
Gastroenterology
NPI 1881089415
6259 W EMERALD ST
Boise, ID 83704
(208) 489-1900
✔ PECOS✔ Accepts MedicareSame address
Victor Chen, MD, M.S.P.H.
Gastroenterology
NPI 1215916846
6259 W EMERALD ST
Boise, ID 83704
(208) 489-1900
✔ PECOS✔ Accepts MedicareSame address
Ashley Evans, MD
Gastroenterology
NPI 1326238981
6259 W EMERALD ST
Boise, ID 83704
(208) 489-1900
✔ PECOS✔ Accepts MedicareSame address
Meghan Jankowski
Gastroenterology
NPI 1518120179
6259 W EMERALD ST
Boise, ID 83704
(208) 489-1900
✔ PECOS✔ Accepts MedicareSame address
Mark Mallory, M.D.
Gastroenterology
NPI 1336116888
6259 W EMERALD ST
Boise, ID 83704
(208) 489-1900
✔ PECOS✔ Accepts MedicareSame address
Rebecca Osterkamp, MD
Gastroenterology
NPI 1548671092
6259 W EMERALD ST
Boise, ID 83704
(208) 489-1900
✔ PECOS✔ Accepts MedicareSame address
Ike Tanabe, M.D.
Gastroenterology
NPI 1184691602
6259 W EMERALD ST
Boise, ID 83704
(208) 489-1900
✔ PECOS✔ Accepts MedicareSame address
Joseph Cook, MD
Gastroenterology
NPI 1700867199
6259 W EMERALD ST
Boise, ID 83704
(208) 489-1900
✔ PECOS✔ Accepts MedicareSame address
Lauren Cooper, MD
Gastroenterology
NPI 1841850351
6259 W EMERALD ST
Boise, ID 83704
(208) 489-1900
✔ PECOS✔ Accepts MedicareSame address
Edward Krajicek, M.D.
Gastroenterology
NPI 1487060117
6259 W EMERALD ST
Boise, ID 83704
(208) 489-1900
✔ PECOS✔ Accepts MedicareSame address
Wendi Lebrett
Gastroenterology
NPI 1083119721
6259 W EMERALD ST
Boise, ID 83704
(208) 489-1900
✔ PECOS✔ Accepts MedicareSame address
Dan Mcentire, MD
Gastroenterology
NPI 1417489485
6259 W EMERALD ST
Boise, ID 83704
(208) 489-1900
✔ PECOS✔ Accepts MedicareSame address
Shauna Williams, M.D.
Colorectal Surgery (Proctology)
NPI 1821150285
6259 W EMERALD ST
Boise, ID 83704
(208) 489-1900
✔ PECOS✔ Accepts MedicareSame address
Abel Joseph, MD, MS
Gastroenterology
NPI 1215566955
6259 W EMERALD ST
Boise, ID 83704
(208) 489-1900
✔ PECOSSame address
Spencer Paulson, M.D.
Pathology
NPI 1215290275
6259 W EMERALD ST
Boise, ID 83704
(208) 489-1900
✔ PECOS✔ Accepts MedicareSame address
Bryan Brimhall, M.D.
Gastroenterology
NPI 1902195753
6259 W EMERALD ST
Boise, ID 83704
(209) 489-1900
✔ PECOS✔ Accepts MedicareSame address
Stephen Schutz, M.D.
Gastroenterology
NPI 1114994977
6259 W EMERALD ST
Boise, ID 83704
(208) 489-1900
✔ PECOS✔ Accepts MedicareSame address
Christopher Goulet, M.D.
Gastroenterology
NPI 1023085180
6259 W EMERALD ST
Boise, ID 83704
(208) 489-1900
✔ PECOS✔ Accepts MedicareSame address
Joseph Kronz, M.D.
Pathology
NPI 1831135581
1512 12TH AVE RD
Nampa, ID 83686
(208) 466-2661
✔ PECOS✔ Accepts Medicare16 mi
Brian Davis, M.D.
Pathology
NPI 1164677944
1350 STARDUST ST SUITE D
Reno, NV 89503
(775) 746-3400
✔ PECOS✔ Accepts Medicare337 mi
See all 23 clinicians

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

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 Digestive Health Clinic LLC's NPI number?

The NPI number for Digestive Health Clinic LLC is 1750498333. It was assigned to this organization in the NPPES registry on August 23, 2006.

Where is Digestive Health Clinic LLC located?

Digestive Health Clinic LLC is located at 6259 W Emerald St, Boise, ID 83704. The listed phone number is (208) 489-1900.

What is Digestive Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Digestive Health Clinic LLC enrolled in Medicare?

Yes. Digestive Health Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Digestive Health Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 3 Medicare specialties reassign their Medicare billing to Digestive Health Clinic LLC. 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 Gastroenterology (17), Pathology (5) and Colorectal Surgery (Proctology) (1). Of these, 18 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Digestive Health Clinic LLC accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Digestive Health Clinic LLC 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 Digestive Health Clinic LLC was last updated on July 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.