Mountain State Breast & General Surgery PLLC
NPI 1720776164ActiveOrganization· Surgery· Boise, ID
Surgery in Boise, Idaho, registered in NPPES in April 2023. The authorized official on file is Rhiana S. Menen, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720776164 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 25, 2023 |
| Last updated in NPPES | Jan 18, 2024 |
| Certified by provider | Jan 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
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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