Zackery Sanders
Zackery Sanders is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Boise, ID, registered under NPI 1649912510.
Getting there
The practice address on file is 2619 W FAIRVIEW AVE, Boise, ID 83702. 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
| Licence | State | Specialty |
|---|---|---|
| 5381229 | ID | Sports Medicine (Physical Medicine &… primary |
This provider holds licence 5381229 issued in ID. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Order And Referring Only - Family Practice
- PAC ID
- 7810379237
- Enrollment ID
- I20220802002134
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Family Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Sports Medicine covers
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. NUCC Health Care Provider Taxonomy, code 2081S0010X
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-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1649912510 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 11, 2022 |
| Last updated | Aug 27, 2026 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Practice address |
2619 W FAIRVIEW AVE Boise, ID 83702 (208) 706-9300 Fax (208) 489-4300 |
| Mailing address |
190 E BANNOCK ST Boise, ID 83712 |
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 | 6 | 4 | 9 | 9 | 1 | 2 | 5 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 8 | 9 | 9 | 1 | 4 | 5 | 2 |
Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0
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.