Individual provider Active NPI

Frank Alan Germano, M.D.

  • Geriatric Psychiatry Physician
  • Boise, ID
National Provider Identifier
1164574372
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
M6022 Issued in ID
Practice address
7267 Potomac Dr
Boise, ID 83704-9150
Phone
(208) 321-9550
Fax
(208) 323-9070
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X M6022 ID Primary

Addresses

Primary practice location

7267 Potomac Dr
Boise, ID 83704-9150

Mailing address

3210 E Chinden Blvd
#115-523
Eagle, ID 83616-6763
Phone (208) 321-9550

Other identifiers 3

IdentifierTypeStateIssuer
DJ806OtherIDBLUE CROSS OF IDAHO
000222600MedicaidID
000010001101OtherIDREGENCE BLUE SHIELD

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
I20190611003424 ID Practitioner - Geriatric Psychiatry 9638220825 Practice locations: Boise, ID

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Psychiatry
Education
Indiana Medical College, School of Medicine of Purdue University, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7267 W Potomac Dr
Boise, ID 83704-9150
Phone (208) 321-9550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6022IDMDGeriatric Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1164574372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 E CHINDEN BLVD",
            "address_2": "#115-523",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166763",
            "telephone_number": "208-321-9550",
            "fax_number": "208-323-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7267 POTOMAC DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049150",
            "telephone_number": "208-321-9550",
            "fax_number": "208-323-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMANO",
        "first_name": "FRANK",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "ID",
            "license": "M6022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "DJ806",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000222600",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010001101",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.