Individual provider Active NPI

Barbara E Quattrone, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Meridian, ID
National Provider Identifier
1093791972
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
M7563 Issued in ID
Practice address
3551 E. Overland Rd.
Meridian, ID 83642
Phone
(208) 884-1333
Fax
(208) 489-4015
NPI assigned
Dec 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X M7563 ID Primary

Addresses

Primary practice location

3551 E. Overland Rd.
Meridian, ID 83642

Mailing address

600 Robbins Rd
Suite 300
Boise, ID 83702-4565
Phone (208) 489-4016

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100712000658 ID Practitioner - Physical Medicine and Rehabilitation 5496840498 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7563IDMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Physical Medicine and Rehabilitation PA Pain Medicine CurrentSince Sep 1, 1998 Accepting new patients
Idaho Physical Medicine and Rehabilitation PA Pain Medicine Past Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

600 N Robbins Rd
Ste 300
Boise, ID 83702
Phone (208) 489-4016

3551 E Overland Rd
Meridian, ID 83642
Phone (208) 489-4016

Organizations & group practices 3

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1093791972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ROBBINS RD",
            "address_2": "SUITE 300",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024565",
            "telephone_number": "208-489-4016",
            "fax_number": "208-489-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 E. OVERLAND RD.",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-884-1333",
            "fax_number": "208-489-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUATTRONE",
        "first_name": "BARBARA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "ID",
            "license": "M7563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.