Orthopaedic Trauma Consultants of Idaho
NPI 1336907450ActiveOrganization· Orthopaedic Surgery· Meridian, ID
Orthopaedic Surgery in Meridian, Idaho, registered in NPPES in March 2024. The authorized official on file is Jesse Dylan Chlebeck, MD, Owner. Enrolled in Medicare as dme supplier - physician - orthopedic/orthopedic surgery and part b supplier - clinic/group practice.
Overview
| NPI | 1336907450 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 12, 2024 |
| Last updated in NPPES | Apr 9, 2024 |
| Certified by provider | Apr 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Orthopedic/Orthopedic Surgery (ID); Part B Supplier - Clinic/Group Practice (ID) |
|---|
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