Individual provider Active NPI

Troy W. Fowler, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Nampa, ID
National Provider Identifier
1235575044
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
P-257 Issued in ID
Practice address
203 12TH Ave Rd
Nampa, ID 83686-5012
Phone
(208) 466-3338
Fax
(208) 466-3554
NPI assigned
May 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P-257 ID
Foot & Ankle Surgery Podiatrist 213ES0103X P-257 ID Primary

Addresses

Primary practice location

203 12TH Ave Rd
Nampa, ID 83686-5012

Mailing address

203 12TH Ave Rd
Nampa, ID 83686-5012
Phone (208) 466-3338

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160822002775 ID Practitioner - Podiatry 3375766025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Medical Center of Nampa, P.a.Group PAC ID 3870671209, 2 clinicians

Practice addresses (Care Compare)

1210 NW 16TH St
Fruitland, ID 83619-2202
Phone (208) 466-3338

203 12TH Ave Rd
Nampa, ID 83686-5012
Phone (208) 466-3338

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue27
Removal of skin lesions1-10
Removal of nail tissue309
Removal or shaving of skin growth128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Medical Center of Nampa, P.a. Podiatrist CurrentSince Jul 1, 2016 Accepting new patients

Locations

2007 N Whitley Dr
Fruitland, ID 83619
Phone (208) 452-4455

203 12th Ave Rd
Nampa, ID 83686
Phone (208) 466-3338

203 12th Ave Rd
#A
Nampa, ID 83686
Phone (208) 466-3338

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1235575044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865012",
            "telephone_number": "208-466-3338",
            "fax_number": "208-466-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865012",
            "telephone_number": "208-466-3338",
            "fax_number": "208-466-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "TROY",
        "middle_name": "W.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ID",
            "license": "P-257",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ID",
            "license": "P-257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.