NPIMap

Individual provider Active NPI

Colin E Poole, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Boise, ID
National Provider Identifier
1215948104
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
M-7823 Issued in ID
Practice address
600 N Robbins Rd
Ste 100
Boise, ID 83702-4566
Phone
(208) 383-0201
Fax
(208) 489-4300
NPI assigned
Aug 10, 2006
Last updated
Sep 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X M-7823 ID Primary

Addresses

Primary practice location

600 N Robbins Rd
Ste 100
Boise, ID 83702-4566

Mailing address

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 383-0201

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
I20090302000680 ID Practitioner - Orthopedic Surgery 8022191634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poole Joint Replacement SpecialistsGroup PAC ID 7113268350, 3 clinicians

Practice addresses (Care Compare)

2365 E Gala St
Suite 1
Meridian, ID 83642-4881
Phone (208) 391-5811

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.54 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement65
Knee replacement111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-7823IDMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poole Joint Replacement Specialists CurrentSince Nov 13, 2018 Accepting new patients
Tadje Orthopaedics, LLC CurrentSince Apr 1, 2019 Accepting new patients
St Luke's Regional Medical Center Past Accepting new patients
Intermountain Orthopaedic PLLC PastSince Dec 1, 2008 Accepting new patients

Locations

1940 S Bonito Way
Ste 190
Meridian, ID 83642

2365 E Gala St
#1
Meridian, ID 83642
Phone (208) 391-5811

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Treasure Valley HospitalBoise, ID, CCN 130063 Hospital Limited Partnership Interest (2.1%) Jun 15, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1215948104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-383-0201",
            "fax_number": "208-489-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N ROBBINS RD",
            "address_2": "STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024566",
            "telephone_number": "208-383-0201",
            "fax_number": "208-489-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "COLIN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "ID",
            "license": "M-7823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.