NPIMap

Individual provider Active NPI

Achini Perera Dingman, MD

  • Rheumatology Physician
  • Meridian, ID
National Provider Identifier
1174594758
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
M-10246 Issued in ID
Practice address
1948 S Eagle Rd
Meridian, ID 83642-2452
Phone
(208) 514-2928
NPI assigned
Jan 31, 2006
Last updated
Feb 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D60427 MD
Rheumatology Physician 207RR0500X M-10246 ID Primary

Addresses

Primary practice location

1948 S Eagle Rd
Meridian, ID 83642-2452

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026

Other identifiers 4

IdentifierTypeStateIssuer
105845OtherMDKAISER PROVIDER #
62009401OtherMDBCBS MD PROV #
T6320004OtherMDBCBS FEDERAL PROV #
P00063033OtherMDTRAVELERS RR MEDICARE

Other names 1

  • Achini Champa Perera Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081202000709 ID Practitioner - Rheumatology 2567453335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Treasure Valley Rheumatology PLLCGroup PAC ID 4688041957, 2 clinicians

Practice addresses (Care Compare)

1948 S Eagle Rd
Meridian, ID 83642-2452
Phone (208) 514-2928

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-10246IDMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Valley Rheumatology PLLC Rheumatology CurrentSince Dec 1, 2022 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Aug 8, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

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

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

1948 S Eagle Rd
Meridian, ID 83642
Phone (208) 322-7900

Interoperability endpoints

  • Direct secure messaging: achini.dingman.p1@direct.tvr.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1174594758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422452",
            "telephone_number": "208-514-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGMAN",
        "first_name": "ACHINI",
        "middle_name": "PERERA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D60427",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "ID",
            "license": "M-10246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PROVIDER #",
            "identifier": "105845",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MD PROV #",
            "identifier": "62009401",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEDERAL PROV #",
            "identifier": "T6320004",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS RR MEDICARE",
            "identifier": "P00063033",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ACHINI",
            "last_name": "PERERA",
            "middle_name": "CHAMPA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.