MATTHEW R SERICATI, M.D. CHARTERED
NPI 1760774483
Internal Medicine - Gastroenterology in Boise, ID

Q: What is Matthew R Sericati, M.D. Chartered's NPI number?

The NPI number for Matthew R Sericati, M.D. Chartered is 1760774483. It was assigned to this organization in the NPPES registry on May 13, 2011.

Q: What is Matthew R Sericati, M.D. Chartered's specialty?

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

Active since May 13, 2011

425 W BANNOCK ST, BOISE, ID 83702(208) 343-1702(208) 342-7042 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2019, Mar 21, 2018 (2 updates tracked since 2018).

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About Matthew R Sericati, M.d. Chartered NPPES

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

MATTHEW R SERICATI, M.D. CHARTERED (NPI 1760774483) is a healthcare organization registered as a gastroenterology in Boise, Idaho and active in the NPI registry since May 2011. The organization maintains 3 additional practice locations and lists Matthew R Sericati, President, as its authorized official.

NPPES Registry Identity

NPI1760774483

Entity TypeOrganization

Primary Taxonomy207RG0100X

Legal Business NameMATTHEW R SERICATI, M.D. CHARTERED

Location Address425 W BANNOCK STBoise, ID 83702-6035

Mailing Address425 W Bannock StBoise, ID 83702-6035 · (208) 343-1702 · Fax (208) 342-7042

Phone(208) 343-1702

Fax(208) 342-7042

Organization SubpartNo

Authorized OfficialMatthew R SericatiPresident · (208) 343-1702

Enumeration DateMay 13, 2011

Last NPPES UpdateJuly 19, 20192 updates tracked since enumeration

✔ NPI 1760774483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in ID · M10669

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.

425 W BANNOCK ST, Boise, ID 83702

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Secondary Practice Locations 3

Location 19850 St Lukes DrNampa, ID 83687-7912 · Phone (208) 343-6458 · Fax (208) 342-7042

Location 22235 E Gala StMeridian, ID 83642-8026 · Phone (208) 877-3724 · Fax (208) 877-1682

Location 31200 Garrity BlvdNampa, ID 83687-3402 · Phone (208) 343-1702

Other Identifiers 1

Other1194871871Individual Npi

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 SINGLE SPECIALTY GROUP

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.

ELLEN B HUNTER M.D.

Internal Medicine (Gastroenterology)