Integrated Dermatology of Boise, LLC
NPI 1528704863ActiveOrganization· Dermatology· Meridian, ID
Dermatology in Meridian, Idaho, registered in NPPES in May 2022. The authorized official on file is Mary Ellen J. Luchetti, MD, Authorized Group Official.
Overview
| NPI | 1528704863 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2022 |
| Last updated in NPPES | Dec 5, 2022 |
| Certified by provider | Dec 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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