NPIMap

Individual provider Active NPI

Anthony Thiros, DO

  • Family Medicine Physician
  • Kuna, ID
National Provider Identifier
1114412707
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MRO-1939 Issued in ID
Practice address
825 W Deer Flat Rd Ste 150
Kuna, ID 83634-1266
Phone
(082) 922-3355
NPI assigned
Jun 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X MRO-1939 ID Primary

Addresses

Primary practice location

825 W Deer Flat Rd Ste 150
Kuna, ID 83634-1266

Mailing address

825 W Deer Flat Rd Ste 150
Kuna, ID 83634-1266
Phone (082) 922-3355

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
I20230810002347 ID Practitioner - Family Practice 9133542657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Family Medicine PLLCGroup PAC ID 2264494798, 5 clinicians

Practice addresses (Care Compare)

825 W Deer Flat Rd
Suite 150
Kuna, ID 83634-1266
Phone (208) 922-3355

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy15
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MRO-1939IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Medicine PLLC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Physical Therapy Centers of Idaho CurrentSince Aug 1, 2023 Accepting new patients
Jones Foot & Ankle LLC PastSince Jul 2, 2023 Accepting new patients
Kuna Healthcare Clinic, PLLC PastSince Mar 4, 2019 Accepting new patients

Locations

8854 W Emerald St
Ste 280
Boise, ID 83704
Phone (208) 377-5005

943 N Linder Rd
#103
Kuna, ID 83634
Phone (208) 922-3355

943 N Linder Rd
Ste 103
Kuna, ID 83634
Phone (208) 565-0978

825 W Deer Flat Rd
#150
Kuna, ID 83634
Phone (208) 404-2262

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Doctor'S Hospice of Idaho LLCNampa, ID, CCN 131575 Hospice Contracted Managing Employee
Corporate Director (33%)		 Dec 19, 2023
Dec 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 5

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": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1114412707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W DEER FLAT RD STE 150",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836341266",
            "telephone_number": "082-922-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W DEER FLAT RD STE 150",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836341266",
            "telephone_number": "082-922-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIROS",
        "first_name": "ANTHONY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MRO-1939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kuna, ID

Sources for this page

Verify at the official NPI Registry.