IDAHO ENDOSCOPY CENTER LLC
NPI 1750616249
Clinic/Center - Ambulatory Surgical in Boise, ID

Q: What is Idaho Endoscopy Center LLC's NPI number?

The NPI number for Idaho Endoscopy Center LLC is 1750616249. It was assigned to this organization in the NPPES registry on October 16, 2009.

Q: What is Idaho Endoscopy Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since October 16, 2009

6259 W EMERALD ST, BOISE, ID 83704(208) 489-1900(208) 489-1929 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Idaho Endoscopy Center Llc NPPES

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

IDAHO ENDOSCOPY CENTER LLC (NPI 1750616249) is a healthcare organization registered as an ambulatory surgical in Boise, Idaho and active in the NPI registry since October 2009. The organization lists Mark A Mallory, Manager/doctor, as its authorized official.

NPPES Registry Identity

NPI1750616249

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameIDAHO ENDOSCOPY CENTER LLC

Location Address6259 W EMERALD STBoise, ID 83704-8731

Mailing Address6259 W Emerald StBoise, ID 83704-8731 · (208) 489-1900 · Fax (208) 489-1929

Phone(208) 489-1900

Fax(208) 489-1929

Organization SubpartNo

Authorized OfficialMark A MalloryManager/doctor · (208) 489-1900

Enumeration DateOctober 16, 2009

Last NPPES UpdateJuly 23, 2020

NPPES CertifiedJuly 23, 2020

✔ NPI 1750616249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

6259 W EMERALD ST, Boise, ID 83704

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Other Identifiers 1

Other1871902ID · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.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)

Idaho Endoscopy Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Idaho Endoscopy Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bryan Brimhall, M.D.

Gastroenterology

NPI 1902195753

6259 W EMERALD ST
Boise, ID 83704

(209) 489-1900

✔ PECOS✔ Accepts MedicareSame address

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 12

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

899 services894 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

413 services400 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

250 services247 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

186 services186 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

181 services170 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

90 services90 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

54 services50 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

39 services34 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

38 services37 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

15 services13 patients

Biopsy of lower large bowel using a flexible endoscope 45331

A biopsy of the lower large bowel involves using a flexible tube with a camera (endoscope) to examine this part of your digestive tract. Small tissue samples may be taken for further examination to detect any abnormalities.

14 services13 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

14 services14 patients

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 Idaho Endoscopy Center LLC's NPI number?

The NPI number for Idaho Endoscopy Center LLC is 1750616249. It was assigned to this organization in the NPPES registry on October 16, 2009.

Where is Idaho Endoscopy Center LLC located?

Idaho Endoscopy Center LLC is located at 6259 W Emerald St, Boise, ID 83704. The listed phone number is (208) 489-1900.

What is Idaho Endoscopy Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Idaho Endoscopy Center LLC enrolled in Medicare?

Yes. Idaho Endoscopy Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Idaho Endoscopy Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Idaho Endoscopy Center 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Idaho Endoscopy Center LLC accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Idaho Endoscopy Center 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 Idaho Endoscopy Center LLC was last updated on July 23, 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.