Organization Active NPI

HPC Medical Group PLLC

  • Primary Care Clinic/Center
  • Boise, ID
National Provider Identifier
1124965553
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HPC MEDICAL GROUP PLLC
Practice address
300 W Main St Ste 100
Boise, ID 83702-7725
Phone
(208) 247-4279
Fax
(208) 684-2455
NPI assigned
May 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Derek D Hayton, DONPI 1821384579
Title
Physician/Managing Member
Phone
(918) 284-9579

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

300 W Main St Ste 100
Boise, ID 83702-7725

Mailing address

300 W Main St Ste 100
Boise, ID 83702-7725
Phone (208) 247-4279

National Provider Directory

National Provider Directory

Locations

1000 N Curtis Rd
Ste 302
Boise, ID 83706
Phone (208) 247-4279

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1124965553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W MAIN ST STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027725",
            "telephone_number": "208-247-4279",
            "fax_number": "208-684-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W MAIN ST STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027725",
            "telephone_number": "208-247-4279",
            "fax_number": "208-684-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HPC MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "HAYTON",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN/MANAGING MEMBER",
        "authorized_official_telephone_number": "918-284-9579",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.