Individual provider Active NPI

Robert A Mairs, DO

  • Obstetrics & Gynecology Physician
  • Ontario, OR
National Provider Identifier
1124001862
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO20644 Issued in OR
Practice address
1050 SW 3Rd Ave Ste 3200
Ontario, OR 97914-4560
Phone
(541) 881-2325
Fax
(208) 914-6701
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X O-186 ID
Gynecology Physician 207VG0400X DO20644 OR
Obstetrics & Gynecology Physician 207V00000X DO20644 OR Primary

Addresses

Primary practice location

1050 SW 3Rd Ave Ste 3200
Ontario, OR 97914-4560

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170

Other practice location 1

840 SW 4th Ave Ste 105
Ontario, OR 97914-2638
Phone (541) 881-2800

Other practice location 2

9850 W St Lukes Dr Ste 320A
Nampa, ID 83687-7912
Phone (208) 706-3220

Other identifiers 1

IdentifierTypeStateIssuer
804163300MedicaidID

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040809001274 OR Practitioner - Obstetrics/Gynecology 1254303407 Reassigns benefits to 4 organizations
I20050404000789 ID Practitioner - Obstetrics/Gynecology 1254303407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Alphonsus Medical Center- Ontario IncGroup PAC ID 1456488899, 42 clinicians
Harney District HospitalGroup PAC ID 6800877424, 35 clinicians

Practice addresses (Care Compare)

1050 SW 3Rd Ave
Suite 1600
Ontario, OR 97914-4552
Phone (541) 881-2360

1050 SW 3Rd Ave
Suite 3200
Ontario, OR 97914-4560
Phone (208) 302-1100

351 SW 9TH St
Ontario, OR 97914-2639
Phone (541) 881-7000

557 W Washington St
Burns, OR 97720-1441
Phone (541) 573-7281

559 W Washington St
Burns, OR 97720-1441
Phone (541) 573-2074

Hospital & facility affiliations

  • Saint Alphonsus Medical Center Ontario Hospital, Ontario, OR, CCN 380052
  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007
  • Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO20644ORMDObstetrics & Gynecology Physician
O-186IDMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Nov 1, 2025 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Obstetrics & Gynecology CurrentSince Mar 30, 2025 Accepting new patients
Valley Family Health Care, Inc Current Accepting new patients
Robert a. Mairs DO PC CurrentSince Jan 1, 2013 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Mar 30, 2025 Accepting new patients
Valley Family Health Care, Inc CurrentSince Mar 1, 2019 Accepting new patients
Valley Family Health Care Inc CurrentSince Mar 1, 2019 Accepting new patients
Good Shepherd Health Care System CurrentSince May 1, 2025 Accepting new patients
Good Shepherd Health Care System CurrentSince May 1, 2025 Accepting new patients
Harney District Hospital Current Accepting new patients
Valley Family Health Care, Inc CurrentSince Mar 1, 2019 Accepting new patients
Valley Family Health Care, Inc Past Accepting new patients
Valley Family Health Care, Inc Past Accepting new patients

Locations

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

207 E 12th St
Emmett, ID 83617
Phone (208) 365-1065

9850 W St Lukes Dr
Ste 320A
Nampa, ID 83687
Phone (208) 323-3767

1441 NE 10th Ave
Payette, ID 83661
Phone (208) 642-9376

645 E 5th St
Weiser, ID 83672
Phone (208) 549-0370

557 W Washington St
Burns, OR 97720
Phone (541) 573-3682

559 W Washington St
Burns, OR 97720
Phone (541) 573-2074

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

620 NW 11th St
Ste M106
Hermiston, OR 97838
Phone (541) 667-3801

17 S 3rd St
Nyssa, OR 97913
Phone (541) 372-5738

1219 SW 4th Ave
Unit 2
Ontario, OR 97914
Phone (208) 302-2200

896 Fortner St
Ontario, OR 97914
Phone (541) 709-2038

840 SW 4th Ave
Ste 105
Ontario, OR 97914
Phone (541) 881-2500

789 Washington St W
Vale, OR 97918
Phone (503) 473-2101

Interoperability endpoints

  • Direct secure messaging: rmairs1530726@direct.lhs.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 7

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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1124001862",
    "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",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SW 3RD AVE STE 3200",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979144560",
            "telephone_number": "541-881-2325",
            "fax_number": "208-914-6701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 SW 4th Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OR",
            "postal_code": "979142638",
            "country_code": "US",
            "telephone_number": "541-881-2800",
            "fax_number": "541-881-2825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9850 W St Lukes Dr Ste 320A",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836877912",
            "country_code": "US",
            "telephone_number": "208-706-3220",
            "fax_number": "208-706-3221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIRS",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "ID",
            "license": "O-186",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OR",
            "license": "DO20644",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "DO20644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804163300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OR

Sources for this page

Verify at the official NPI Registry.