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JAY KOERNKE MD
NPI 1942887401
Internal Medicine in Boise, ID

Active since March 29, 2021
500 W FORT ST # 111R, BOISE, ID 83702(816) 806-6566 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2025, Mar 29, 2021 (2 updates tracked since 2021).

About Jay Koernke Md NPPES

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

JAY KOERNKE MD (NPI 1942887401) is an individual internal medicine provider in Boise, Idaho, licensed in Idaho (5771067) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1942887401
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAY KOERNKECredential: MD
Location Address500 W FORT ST # 111RBoise, ID 83702-4501
Mailing Address500 W Fort St # 111rBoise, ID 83702-4501
Phone(816) 806-6566
Sole ProprietorNo
Enumeration DateMarch 29, 2021
Last NPPES UpdateNovember 21, 20252 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1942887401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ID · 5771067
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
500 W FORT ST # 111R, Boise, ID 83702
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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.

SEYEDEHZEINAB MOUSAVI MD
Internal Medicine
500 W FORT ST # 111R
BOISE, ID 83702
Ada County (208) 422-1000
WILLIAM KOWALLIS
Student in an Organized Health Care Education/Training Program
500 W FORT ST # 111R
BOISE, ID 83702
Ada County (208) 422-1000
TAYLOR JENE MELLINGER DO
Internal Medicine
500 W FORT ST # 111R
BOISE, ID 83702
Ada County (208) 422-1000
CALEB ADDAI MENSAH MD
Internal Medicine
500 W FORT ST # 111R
BOISE, ID 83702
Ada County (208) 422-1000
CONNOR GUTHRIE
Internal Medicine
500 W FORT ST # 111R
BOISE, ID 83702
Ada County (208) 422-1000
MARIA CAMILA VARGAS
Internal Medicine
500 W FORT ST # 111R
BOISE, ID 83702
Ada County (208) 422-1314
DR. MATTHEW FONTE MD
Internal Medicine
500 W FORT ST # 111R
BOISE, ID 83702
Ada County (208) 422-1000
DR. COLVIN GREENBERG MD
Internal Medicine
500 W FORT ST # 111R
BOISE, ID 83702
Ada County (208) 422-1000

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 Jay Koernke's NPI number?

The NPI number for Jay Koernke is 1942887401. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Jay Koernke located?

Jay Koernke practices at 500 W Fort St # 111R, Boise, ID 83702. The listed phone number is (816) 806-6566.

What is Jay Koernke's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jay Koernke was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.