Patrick B McCabe, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-387 Issued in ID

Practice address

1188 W University Dr
Boise, ID 83706

Phone

(208) 336-8250

Fax

(208) 345-9514

NPI assigned

Dec 20, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Idaho Sports Medicine Institute PAGroup PAC ID 1759278765, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Treasure Valley Hospital Hospital, Boise, ID, CCN 130063

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pmccabe1563987@direct.trinity-health.org
• FHIR API: https://fhir4.healow.com/fhir/r4/ADHBAA

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.

• Idaho Sports Medicine Institute PA

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Boise, ID
  • NPI 1154356624
  Medicare reassignment Care Compare group
• Allied Orthopaedics LLC

  • Orthopaedic Surgery Physician
  • Boise, ID
  • NPI 1750563540
  Medicare reassignment NPD
• Direct Orthopedic Care LLC

  • Orthopaedic Surgery Physician
  • Boise, ID
  • NPI 1356769434
  Medicare reassignment NPD
• Saltzer Medical Group, PA

  • Family Medicine Physician
  • Nampa, ID
  • NPI 1376574442
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Treasure Valley Hospital Limited Partnership

  • Special Hospital
  • Boise, ID
  • NPI 1720040132
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1013993286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 W UNIVERSITY DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063009",
            "telephone_number": "208-336-8250",
            "fax_number": "208-345-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 W UNIVERSITY DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706",
            "telephone_number": "208-336-8250",
            "fax_number": "208-345-9514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4424 E Flamingo Ave",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "83687",
            "country_code": "US",
            "telephone_number": "208-288-4700",
            "fax_number": "208-288-4720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "PATRICK",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013993286",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke McBride
• Jason H. McBride, PA-C
• Miles McBride
• Sean McBride
• Miranda McBroom
• Reid McCabe, MD
• Jasmine Alise McCafferty, PHARMD
• Rebecca L McCaffrey, MD
• Samantha Anne McCain
• Candice J McCaleb

• Physician Assistant in Boise, ID
• Providers in Boise, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.

Verify at the official NPI Registry.