Active NPI
Michael A Chenore, MD
- Family Medicine Physician
- Nampa, ID
National Provider Identifier
1225028632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M-3894
- Practice address
- 215 E Hawaii Ave
Nampa, ID 83686-6011 - Phone
- (208) 463-3234
- Fax
- (208) 463-3044
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M-3894 | ID | Primary |
Addresses
Primary practice location
215 E Hawaii Ave
Nampa, ID 83686-6011
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2222
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010002454 | Other | ID | BLUE SHIELD |
| 002363600 | Medicaid | ID | |
| 38943 | Other | ID | BLUE CROSS |
| 806359800 | Other | ID | HEALTHY CONNECTIONS |
| 080020408 | Other | ID | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saltzer Medical Group, PA | Family Medicine | Current | Accepting new patients |
Locations
217 W Georgia Ave
Ste 115
Nampa, ID 83686
Phone (208) 463-3234
290 W Georgia Ave
Nampa, ID 83686
Phone (208) 288-4991
215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ADHBAA
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Nampa, ID
- NPI 1376574442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360800000000",
"number": "1225028632",
"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": "208-381-2222",
"fax_number": "208-463-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E HAWAII AVE",
"city": "NAMPA",
"state": "ID",
"postal_code": "836866011",
"telephone_number": "208-463-3234",
"fax_number": "208-463-3044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENORE",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2013-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M-3894",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010002454",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002363600",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "38943",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY CONNECTIONS",
"identifier": "806359800",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080020408",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.