Individual provider Active NPI

Lindie K Borton, M.D

  • Dermatology Physician
  • Boise, ID
National Provider Identifier
1124106364
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
M-6227 Issued in ID
Practice address
3811 N Garden Center Way
Boise, ID 83703-5007
Phone
(208) 287-5525
Fax
(208) 287-5530
NPI assigned
Nov 2, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X M-6227 ID Primary

Addresses

Primary practice location

3811 N Garden Center Way
Boise, ID 83703-5007

Mailing address

3811 N Garden Center Way
Boise, ID 83703-5007
Phone (208) 287-5525

Other identifiers 2

IdentifierTypeStateIssuer
G-49757OtherCASTATE MED LICENSE
M-6227OtherIDSTATE MED LICENSE

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
I20041117000069 ID Practitioner - Dermatology 4981668118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, San Francisco School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3811 N Garden Ctr Way
Boise, ID 83703-5007
Phone (208) 287-5525

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions674
Skin biopsy49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-6227IDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lindie Borton M.D. PA Dermatology CurrentSince Sep 30, 2020 Accepting new patients

Locations

3811 N Garden Center Way
Boise, ID 83703
Phone (208) 287-5525

670 E Riverpark Ln
Ste 200
Boise, ID 83706
Phone (208) 287-5525

Interoperability endpoints

  • Direct secure messaging: lborton@directaddress.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1124106364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 N GARDEN CENTER WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035007",
            "telephone_number": "208-287-5525",
            "fax_number": "208-287-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 N GARDEN CENTER WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035007",
            "telephone_number": "208-287-5525",
            "fax_number": "208-287-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTON",
        "first_name": "LINDIE",
        "middle_name": "K",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ID",
            "license": "M-6227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MED LICENSE",
            "identifier": "G-49757",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MED LICENSE",
            "identifier": "M-6227",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.