Active NPI
Anthony Joel Neira Lazaro, MD
- Internal Medicine Physician
- Nampa, ID
National Provider Identifier
1093491151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9871782
- Practice address
- 1150 N Sister Catherine Way
Nampa, ID 83687-3133 - Phone
- (208) 302-7000
- Fax
- (208) 302-7055
- NPI assigned
- Jun 23, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10085530 | TX | |
| Internal Medicine Physician | 207R00000X | 9871782 | ID | Primary |
Addresses
Primary practice location
1150 N Sister Catherine Way
Nampa, ID 83687-3133
Mailing address
PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170
Other practice location 1
1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 848-4000
Other practice location 2
3000 N I 35
Denton, TX 76201-5119
Phone (940) 898-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 190930
Boise, ID 83719
PO Box
Suite 190930
Boise, ID 83719-0930
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10085530 | TX | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- aneiralazaro2372789@direct.texashealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1093491151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190930",
"city": "BOISE",
"state": "ID",
"postal_code": "837190930",
"telephone_number": "208-367-5170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 N SISTER CATHERINE WAY",
"city": "NAMPA",
"state": "ID",
"postal_code": "836873133",
"telephone_number": "208-302-7000",
"fax_number": "208-302-7055"
}
],
"practiceLocations": [
{
"address_1": "1600 Hospital Pkwy",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "TX",
"postal_code": "760226913",
"country_code": "US",
"telephone_number": "817-848-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3000 N I 35",
"address_purpose": "LOCATION",
"city": "Denton",
"state": "TX",
"postal_code": "762015119",
"country_code": "US",
"telephone_number": "940-898-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEIRA LAZARO",
"first_name": "ANTHONY",
"middle_name": "JOEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-23",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10085530",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ID",
"license": "9871782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.