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ANN CORDUM M.D.
NPI 1982653879
Internal Medicine in Boise, ID

Active since May 08, 2006Opted out of Medicare · through Apr 1, 2027
203 W FORT ST, BOISE, ID 83702(208) 994-8656(888) 972-4280 Get Directions Write a Review

NPPES record last updated: June 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ann Cordum M.d. NPPES

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

ANN CORDUM M.D. (NPI 1982653879) is an individual internal medicine provider in Boise, Idaho, licensed in Idaho (M7030) and active in the NPI registry since May 2006. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1982653879
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameANN CORDUMCredential: M.D.
Location Address203 W FORT STBoise, ID 83702-4528
Mailing Address203 W Fort StBoise, ID 83702-4528 · (208) 994-8656 · Fax (888) 972-4280
Phone(208) 994-8656
Fax(888) 972-4280
Sole ProprietorNo
Enumeration DateMay 8, 2006
Last NPPES UpdateJune 26, 2015
✔ NPI 1982653879 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 · M7030
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.
203 W FORT ST, Boise, ID 83702
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Other Identifiers 1

Medicare UPINF57538

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ann Cordum M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROXANNE L PICKEREL M.S., LCPC
Counselor (Mental Health)
203 W FORT ST
BOISE, ID 83702
Ada County (208) 841-8109
ANN CORDUM PLLC
Internal Medicine
203 W FORT ST
BOISE, ID 83702
Ada County (208) 994-8656
ROXANNE PICKEREL LLC
Counselor (Mental Health)
203 W FORT ST
BOISE, ID 83702
Ada County (208) 841-8109
MISHA DAWN MOONEY L.AC, DIPL. O.M
Acupuncturist
203 W FORT ST
BOISE, ID 83702
Ada County (224) 388-0810
LAUREN MICHELLE KASNEY LMFT
Marriage & Family Therapist
203 W FORT ST
BOISE, ID 83702
Ada County (208) 450-2779
DR. MELODY K DWYER D.O.
Specialist
203 W FORT ST
BOISE, ID 83702
Ada County (208) 377-0908

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 Ann Cordum's NPI number?

The NPI number for Ann Cordum is 1982653879. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Ann Cordum located?

Ann Cordum practices at 203 W Fort St, Boise, ID 83702. The listed phone number is (208) 994-8656.

What is Ann Cordum's specialty?

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

Is Ann Cordum enrolled in Medicare?

No. Ann Cordum has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ann Cordum was last updated on June 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.