MOUNTAIN STATES NEONATOLOGY, INC.
MOUNTAIN STATES NEONATOLOGY, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1205850823, based in Boise, ID. The organization lists 4 taxonomy classifications, with Neonatal-Perinatal Medicine Physician recorded as primary.
Getting there
The practice address on file is 1055 N CURTIS RD, Boise, ID 83706. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3779719224
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Neonatal-Perinatal Medicine covers
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. NUCC Health Care Provider Taxonomy, code 2080N0001X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2080N0001X | Neonatal-Perinatal Medicine Physician Neonatal-Perinatal Medicine | — | — | primary |
| 207VM0101X | Maternal & Fetal Medicine Physician Maternal & Fetal Medicine | — | — | |
| 2080P0203X | Pediatric Critical Care Medicine Physician Pediatric Critical Care Medicine | — | — | |
| 363LN0000X | Neonatal Nurse Practitioner Neonatal | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1205850823 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 27, 2006 |
| Last updated | Oct 23, 2024 |
| Status | Active |
| Practice address |
1055 N CURTIS RD Boise, ID 83706 (208) 367-7610 Fax (208) 367-7616 |
| Mailing address |
1301 CONCORD TER Sunrise, FL 33323 |
| Other identifiers |
806075900
(ID) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 0 | 5 | 8 | 5 | 0 | 8 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 0 | 5 | 7 | 5 | 0 | 8 | 4 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.