Individual provider

Ellen Reynolds, MD

Pediatric Surgery Physician Medicare enrolled

Ellen Reynolds, MD is a Pediatric Surgery Physician in Boise, ID, registered under NPI 1679622542.

Getting there

The practice address on file is 100 E IDAHO ST STE 300, Boise, ID 83712. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

100 E IDAHO ST STE 300, Boise, ID 83712 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
M-7833 ID Pediatric Surgery Physician primary

This provider holds licence M-7833 issued in ID. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - General Surgery
PAC ID
4183704810
Enrollment ID
I20080107000722

Medicare enrolment is recorded as approved under the provider type Practitioner - General Surgery. 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 Pediatric Surgery covers

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. NUCC Health Care Provider Taxonomy, code 2086S0120X
Allopathic & Osteopathic Physicians Surgery Pediatric Surgery

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.

NPI1679622542 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 9, 2007
Last updatedSep 4, 2012
StatusActive
Sole proprietorNo
CredentialMD
Practice address 100 E IDAHO ST
STE 300
Boise, ID 83712
(208) 381-7370
Fax (208) 381-7377
Mailing address 190 E BANNOCK ST
Boise, ID 83712
This record was last updated on Sep 4, 2012, roughly 14 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1679622542 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 7 9 6 2 2 5 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 5 9 3 2 4 5 8

Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2

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.

Common questions

What is NPI number 1679622542?
NPI 1679622542 is the National Provider Identifier assigned to Ellen Reynolds, MD in Boise, ID. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatric Surgery cover?
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
How do I contact Ellen Reynolds, MD?
The phone number on file with NPPES is (208) 381-7370, last updated Sep 4, 2012. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Ellen Reynolds, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1679622542 a valid number?
Yes. 1679622542 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.