Individual provider Active NPI

Amir Samir Zakhary Gendy, M.D.

  • Surgical Critical Care Physician
  • Meridian, ID
National Provider Identifier
1124361019
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
M-17457 Issued in ID
Practice address
520 S Eagle Rd
Meridian, ID 83642-6351
Phone
(208) 381-6930
Fax
(208) 381-6931
NPI assigned
Mar 29, 2013
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X MT203211 PA
Surgical Critical Care Physician 2086S0102X 262950 NY
Surgical Critical Care PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0102X 01088790A IN
Surgical Critical Care Physician 2086S0102X M-17457 ID Primary
Surgical Critical Care Physician 2086S0102X 77707 AZ
Surgery Physician 208600000X 262950 NY

Addresses

Primary practice location

520 S Eagle Rd
Meridian, ID 83642-6351

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice location 1

707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-7575

Other practice location 2

999 N Curtis Rd Ste 415
Boise, ID 83706-1334
Phone (208) 302-2600

Other practice location 3

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 773-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA, ID, AZ4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20150427000660 NY Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 4880913763 Reassigns benefits to 3 organizations
I20190611000690 CA Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 4880913763 Reassigns benefits to 5 organizations
I20231201002088 ID Practitioner - Critical Care (Intensivists) 4880913763 Reassigns benefits to 1 organization
I20250722004405 AZ Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 4880913763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366

1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249

2000 S Thompson St
Flagstaff, AZ 86001-8759
Phone (928) 226-6400

3025 W Cherry LN
Meridian, ID 83642-8531

7810 N US Hwy 89
Flagstaff, AZ 86004-6255
Phone (928) 522-8375

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01088790AINMDSurgical Critical Care Physician
MT203211PAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Single Specialty CurrentSince Dec 8, 2021 Accepting new patients
New York University CurrentSince Oct 1, 2018 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Jul 9, 2025 Accepting new patients
New York University Single Specialty CurrentSince Oct 1, 2018 Accepting new patients
Flagstaff Pathology Associates Single Specialty Current Accepting new patients
St Lukes Clinic-Treasure Valley LLC Single Specialty CurrentSince Apr 28, 2025 Accepting new patients
County of Santa Clara Single Specialty CurrentSince Dec 8, 2021 Accepting new patients
Kern County Hospital Authority CurrentSince Mar 18, 2019 Accepting new patients
Kern County Hospital Authority Single Specialty CurrentSince Mar 18, 2019 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Apr 28, 2025 Accepting new patients
County of Santa Clara Single Specialty Current Accepting new patients
County of Santa Clara Single Specialty CurrentSince Dec 8, 2021 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Dec 5, 2014 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Single Specialty Current Accepting new patients
Northern Arizona Healthcare Corporation Single Specialty Current Accepting new patients
County of Santa Clara Single Specialty Current Accepting new patients
Brookdale Hospital Medical Center Single Specialty CurrentSince Dec 5, 2014 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Sep 18, 2023 Accepting new patients
North Shore - Lij Medical PC CurrentSince Feb 17, 2021 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Single Specialty CurrentSince Sep 18, 2023 Accepting new patients
County of Santa Clara CurrentSince Dec 8, 2021 Accepting new patients
Inpatient Specialists of California, PC Single Specialty CurrentSince Mar 1, 2023 Accepting new patients
Saint Alphonsus Specialty Services Inc Single Specialty Past Accepting new patients

Locations (25 of 30)

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

1700 Mount Vernon Ave
Rm 1241
Bakersfield, CA 93306
Phone (661) 326-2220

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

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

999 N Curtis Rd
Ste 415
Boise, ID 83706
Phone (208) 302-2600

3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

520 S Eagle Rd
Meridian, ID 83642
Phone (208) 706-5000

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064

Interoperability endpoints

  • Direct secure messaging: agendy2837371@direct.trinity-health.org
  • Direct secure messaging: agendy57687@epicdirect.rwjbh.org
  • Direct secure messaging: agendy787149@direct.memorialcare.org

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1124361019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426351",
            "telephone_number": "208-381-6930",
            "fax_number": "208-381-6931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 E Main St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109402650",
            "country_code": "US",
            "telephone_number": "845-333-7575",
            "fax_number": "845-333-1454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 N Curtis Rd Ste 415",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837061334",
            "country_code": "US",
            "telephone_number": "208-302-2600",
            "fax_number": "208-302-2625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N Beaver St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860013118",
            "country_code": "US",
            "telephone_number": "928-773-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENDY",
        "first_name": "AMIR",
        "middle_name": "SAMIR ZAKHARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-29",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "PA",
            "license": "MT203211",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NY",
            "license": "262950",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": "IN",
            "license": "01088790A",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "ID",
            "license": "M-17457",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "AZ",
            "license": "77707",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "262950",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.