Medical Directors of Idaho PLLC
NPI 1710392410ActiveOrganization· Internal Medicine· Nampa, ID
Internal Medicine in Nampa, Idaho, registered in NPPES in June 2014. The authorized official on file is Ryan Williams, MD, Responsible Party/Representative. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710392410 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 23, 2014 |
| Last updated in NPPES | May 16, 2023 |
| Certified by provider | May 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | M-10968 | ID |
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 Part B Supplier - Clinic/Group Practice (ID) |
|---|
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