Individual provider Active NPI

Victoria Rose Byrne, DO

  • Hospitalist Physician
  • Boise, ID
National Provider Identifier
1124476205
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
O-1223 Issued in ID
Practice address
1055 N Curtis Rd
Boise, ID 83706
Phone
(208) 367-7350
Fax
(727) 585-7205
NPI assigned
May 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X UO 4873 FL
Internal Medicine Physician 207R00000X OS14929 FL
Internal Medicine Physician 207R00000X O-1223 ID
Hospitalist Physician 208M00000X O-1223 ID Primary

Addresses

Primary practice location

1055 N Curtis Rd
Boise, ID 83706

Mailing address

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 367-7350

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
I20191031001109 ID Practitioner - HospitalistPractitioner - Internal Medicine 0749543239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Alphonsus Regional Medical Center IncGroup PAC ID 3476462359, 672 clinicians
Medical Directors of Idaho PLLCGroup PAC ID 1951628544, 19 clinicians

Practice addresses (Care Compare)

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

2814 S Indiana Ave
Caldwell, ID 83605-5925
Phone (208) 459-0808

3025 W Cherry LN
Meridian, ID 83642-8531

Hospital & facility affiliations

  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UO 4873FLMDFamily Medicine Physician
OS14929FLMDInternal Medicine Physician
O-1223IDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Sep 1, 2019 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Medical Directors of Idaho PLLC Internal Medicine CurrentSince May 1, 2022 Accepting new patients

Locations

620 N 6th St
Bellevue, ID 83313
Phone (208) 788-7180

711 N Curtis Rd
Boise, ID 83706
Phone (208) 605-3000

909 E Reserve St
Boise, ID 83712
Phone (208) 343-7717

8211 W Ustick Rd
Boise, ID 83704
Phone (208) 375-3700

3550 W Americana Ter
Boise, ID 83706
Phone (208) 615-4940

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

6000 W Denton St
Boise, ID 83704
Phone (208) 230-8525

210 Cleveland Blvd
Caldwell, ID 83605
Phone (208) 459-1522

2814 S Indiana Ave
Caldwell, ID 83605
Phone (208) 454-0380

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

2867 E Copper Point Dr
Meridian, ID 83642
Phone (208) 401-9100

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

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

900 N Happy Valley Rd
Nampa, ID 83687
Phone (208) 206-0261

660 S 2nd W
Rexburg, ID 83440
Phone (208) 356-0220

331 E Park St
Weiser, ID 83672
Phone (208) 549-0206

Interoperability endpoints

  • Direct secure messaging: victoria.byrne@hca4.eclinicaldirectplus.com
  • Direct secure messaging: vbyrne1564288@direct.trinity-health.org

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 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": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1124476205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-367-7350",
            "fax_number": "727-585-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706",
            "telephone_number": "208-367-7350",
            "fax_number": "727-585-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "VICTORIA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-30",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "UO 4873",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS14929",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "O-1223",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ID",
            "license": "O-1223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.