Individual provider Active NPI

Natale Joseph Biondo, PA

  • Physician Assistant
  • Boise, ID
National Provider Identifier
1043323876
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA367 Issued in ID
Practice address
500 S 8TH St
Boise, ID 83702-7107
Phone
(855) 255-1750
Fax
(855) 255-0905
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10004451 WA
Physician Assistant 363A00000X PA367 ID Primary

Addresses

Primary practice location

500 S 8TH St
Boise, ID 83702-7107

Mailing address

8017 S Highway 95
Coeur D Alene, ID 83814-5697
Phone (208) 691-3058

Other practice location 1

413 29th St NE Ste I
Puyallup, WA 98372-7154
Phone (855) 255-1750

Other identifiers 1

IdentifierTypeStateIssuer
PA367OtherIDLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050926000991 WA Practitioner - Physician Assistant 9335173632 Reassigns benefits to 1 organization
I20071207000617 ID Practitioner - Physician Assistant 9335173632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Wound Healing PSGroup PAC ID 2860794070, 32 clinicians

Practice addresses (Care Compare)

210 W Lacrosse Ave
Coeur D Alene, ID 83814-2403
Phone (208) 664-2185

920 12TH Ave SE
Puyallup, WA 98372-4920
Phone (855) 255-1750

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA367IDMDPhysician Assistant
PA10004451WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
United Wound Healing Accountable Care Consultants PLLC Physician Assistant CurrentSince Apr 1, 2022 Accepting new patients
Community Health Association of Spokane Past Accepting new patients
Kootenai Health, Inc. Past Accepting new patients

Locations

500 S 8th St
Boise, ID 83702

413 29th St NE
Ste I
Puyallup, WA 98372

2913 5th Ave NE
Ste 101
Puyallup, WA 98372
Phone (253) 905-0646

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1043323876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8017 S HIGHWAY 95",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145697",
            "telephone_number": "208-691-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S 8TH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027107",
            "telephone_number": "855-255-1750",
            "fax_number": "855-255-0905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 29th St NE Ste I",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983727154",
            "country_code": "US",
            "telephone_number": "855-255-1750",
            "fax_number": "855-255-0905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIONDO",
        "first_name": "NATALE",
        "middle_name": "JOSEPH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004451",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA367",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.