NPIMap

Individual provider Active NPI

Bartholomew Michael Ripepi, DO

  • Family Medicine Physician
  • Eagle, ID
National Provider Identifier
1073873188
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-0877 Issued in ID
Practice address
1895 McGrath Rd
Eagle, ID 83616-6243
Phone
(208) 939-8200
Fax
(208) 939-8222
NPI assigned
May 22, 2012
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X O-0877 ID Primary

Addresses

Primary practice location

1895 McGrath Rd
Eagle, ID 83616-6243

Mailing address

PO Box 191050
Boise, ID 83719-1050
Phone (208) 955-6500

Other practice location 1

5215 Centre Ave
Pittsburgh, PA 15232-1303
Phone (412) 623-3136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150805007207 ID Practitioner - Family Practice 7012233315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Medical Group LLCGroup PAC ID 3971544685, 132 clinicians
Optimal Healthcare PLLCGroup PAC ID 5294215471, 2 clinicians

Practice addresses (Care Compare)

1895 McGrath Rd
Eagle, ID 83616-6243
Phone (208) 939-8200

323 E Riverside Dr
Suite 234
Eagle, ID 83616-6865
Phone (208) 514-3362

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
O-0877IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Dec 11, 2017 Accepting new patients
Alliance Medical Group, LLC Family Medicine CurrentSince Jan 17, 2024 Accepting new patients
Optimal Healthcare PLLC Family Medicine CurrentSince Feb 1, 2026 Accepting new patients
Alliance Medical Group, LLC Family Medicine CurrentSince Jan 17, 2024 Accepting new patients
Alliance Medical Group, LLC Family Medicine Past Accepting new patients
St Lukes Regional Medical Center PastSince Dec 11, 2017 Accepting new patients
St Luke's Magic Valley Regional Medical Center LTD 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

3101 E State St
#1100
Eagle, ID 83616
Phone (208) 473-3500

1895 McGrath Rd
Eagle, ID 83616
Phone (208) 939-8200

323 E Riverside Dr
Ste 234
Eagle, ID 83616
Phone (208) 514-3362

10482 W Carlton Bay Dr
Garden City, ID 83714
Phone (208) 454-9690

Interoperability endpoints

  • Direct secure messaging: bripepi32581@direct.slhs.org
  • Direct secure messaging: bartholomew.ripepi@phmg.eclinicaldirectplus.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1073873188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191050",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837191050",
            "telephone_number": "208-955-6500",
            "fax_number": "208-955-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 MCGRATH RD",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166243",
            "telephone_number": "208-939-8200",
            "fax_number": "208-939-8222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5215 Centre Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152321303",
            "country_code": "US",
            "telephone_number": "412-623-3136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIPEPI",
        "first_name": "BARTHOLOMEW",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-22",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

Verify at the official NPI Registry.