NPIMap

Individual provider Active NPI

Lyndon C Box, MD

  • Interventional Cardiology Physician
  • Caldwell, ID
National Provider Identifier
1174620512
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
M11945 Issued in ID
Practice address
1906 Fairview Ave Ste 230
Caldwell, ID 83605-5432
Phone
(208) 459-4667
Fax
(208) 442-6520
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME91308 FL
Cardiovascular Disease Physician 207RC0000X 061212 GA
Cardiovascular Disease Physician 207RC0000X ME91308 FL
Interventional Cardiology Physician 207RI0011X M11945 ID Primary

Addresses

Primary practice location

1906 Fairview Ave Ste 230
Caldwell, ID 83605-5432

Mailing address

PO Box 742941
Atlanta, GA 30374-2941

Other identifiers 1

IdentifierTypeStateIssuer
2813611-00MedicaidFL

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
I20130611000280 ID Practitioner - Interventional Cardiology 8820163009 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University of Alabama School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Valley Medical Group Specialty Services LLCGroup PAC ID 5799901815, 6 clinicians

Practice addresses (Care Compare)

1906 Fairview Ave
Suite 230
Caldwell, ID 83605-5432
Phone (208) 459-0028

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.96 of 100Reported as individual
Quality
90.71
Improvement activities
40
Cost
78.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal34
Leg revascularization (restoring blood flow)11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M11945IDMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Canyon Medical Center Inc. CurrentSince Feb 26, 2014 Accepting new patients
North Canyon Medical Center, Inc. CurrentSince Feb 26, 2014 Accepting new patients
West Valley Medical Group Specialty Services LLC CurrentSince Dec 14, 2015 Accepting new patients
OB-GYN Associates, PA PastSince Jan 1, 2009 Accepting new patients
West Valley Medical Group LLC Internal Medicine Past Accepting new patients
University of Florida Jacksonville Physicians, Inc. Internal Medicine Past Accepting new patients

Locations

1906 Fairview Ave
Ste 230
Caldwell, ID 83605
Phone (208) 795-5201

315 E Elm St
Ste 310
Caldwell, ID 83605
Phone (208) 454-2035

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

745 S Progress Ave
Ste 120
Meridian, ID 83642
Phone (208) 795-5073

645 E 5th St
Ste Cc
Weiser, ID 83672

Interoperability endpoints

  • Direct secure messaging: lyndon.box@hca3.eclinicaldirectplus.com

Organizations & group practices 6

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 12

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174620512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742941",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 FAIRVIEW AVE STE 230",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055432",
            "telephone_number": "208-459-4667",
            "fax_number": "208-442-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOX",
        "first_name": "LYNDON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-07-21",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME91308",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "061212",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME91308",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "ID",
            "license": "M11945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2813611-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.