Active NPI
Matthew Judd, D.O.
- Emergency Medicine Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- O-0980
- Practice address
- 1055 N Curtis Rd
Boise, ID 83706-1309 - Phone
- (208) 322-1730
- Fax
- (208) 322-1731
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
Emergency Medicine, ID
-
- Family Medicine Physician
- Mountain Home, ID
- NPI 1417297821
Family Medicine
-
- Rural Health Clinic/Center
- Baker City, OR
- NPI 1336442607
-
- Home Infusion Therapy Pharmacy
- Bismarck, ND
- NPI 1063663607
-
- Emergency Medicine Physician
- Pocatello, ID
- NPI 1053786467
Emergency Medicine
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- Emergency Medicine Physician
- Newark, DE
- NPI 1750369674
Emergency Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Lukes Clinic-Treasure Valley LLC
Practice addresses (Care Compare)
100 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2983
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-9384
608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
Hospital & facility affiliations
- St Luke'S Regional Medical Center
- St Luke'S Nampa Medical Center
- St Luke'S Elmore Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 81.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.37
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101007001087 | ID | Practitioner - Emergency Medicine | 5991857278 | Reassigns benefits to 1 organization |
| I20170315000386 | ND | Practitioner - Emergency Medicine | 5991857278 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-0980 | ID | MD | Emergency Medicine Physician |
| AT2887175 | DE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Family Medicine | Current | Accepting new patients |
| St Alexius Medical Center | Current | Accepting new patients | |
| St Lukes Clinic-Treasure Valley LLC | Emergency Medicine | Current | Accepting new patients |
| St. Alexius Medical Center | Current | Accepting new patients | |
| Doctors for Emergency Service | Emergency Medicine | Past | Accepting new patients |
| St Lukes Regional Medical Center | Past | Accepting new patients | |
| Idaho Em I Medical Services PC | Emergency Medicine | Past | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
895 N 6th E
Mtn Home, ID 83647
Phone (208) 580-2661
900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | AT2887175 | DE | |
| Internal Medicine Physician | 207R00000X | AT2887175 | DE | |
| Emergency Medicine Physician | 207P00000X | O-0980 | ID | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1055 N Curtis Rd
Boise, ID 83706-1309
Mailing address
2963 E Copper Point Dr
Suite 150
Meridian, ID 83642-9055
Phone (208) 322-1730
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003934100 | Medicaid | ID |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 25, 2015.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443139200000",
"number": "1003934100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2963 E COPPER POINT DR",
"address_2": "SUITE 150",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836429055",
"telephone_number": "208-322-1730",
"fax_number": "208-322-1731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N CURTIS RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837061309",
"telephone_number": "208-322-1730",
"fax_number": "208-322-1731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDD",
"first_name": "MATTHEW",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2015-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "DE",
"license": "AT2887175",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "AT2887175",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ID",
"license": "O-0980",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003934100",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.