Individual provider Active NPI

Warren William Gude, MD

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Boise, ID
National Provider Identifier
1255399820
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
M9881 Issued in ID
Practice address
600 Robbins Road
The Center for Wound Healing and Hyperbaric Medicine
Boise, ID 83702
Phone
(208) 489-5800
Fax
(208) 489-4060
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X K0792 TX
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X M-9881 ID
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X MD153967 OR
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X M9881 ID Primary

Addresses

Primary practice location

600 Robbins Road
The Center for Wound Healing and Hyperbaric Medicine
Boise, ID 83702

Mailing address

600 Robbins Road
The Center for Wound Healing and Hyperbaric Medicine
Boise, ID 83702
Phone (208) 489-5800

Other practice location 1

3277 E Louise Dr
Meridian, ID 83642-9359
Phone (208) 489-5800

Other practice location 2

10201 SE Main St Ste 9
Portland, OR 97216-2937
Phone (503) 252-4325

Other identifiers 1

IdentifierTypeStateIssuer
120628604MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071130000097 ID Practitioner - Undersea and Hyperbaric MedicinePractitioner - Emergency MedicinePractitioner - Other (Physician) 0840238507 Reassigns benefits to 1 organization
I20110926000918 OR Practitioner - Undersea and Hyperbaric MedicinePractitioner - Emergency Medicine 0840238507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undersea and Hyperbaric MedicineAlso: Emergency Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portland Adventist Medical CenterGroup PAC ID 3274908819, 273 clinicians
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

10201 SE Main St
Suite 9
Portland, OR 97216-2937
Phone (503) 252-4325

3277 E Louise Dr
Meridian, ID 83642-9360

600 N Robbins Rd
Boise, ID 83702-4565

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

775 Pole Line W Rd
111W
Twin Falls, ID 83301-5819
Phone (208) 336-9188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92 of 100Reported as group
Quality
84.7
Promoting interoperability
100
Improvement activities
40
Cost
79.21

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
81.29
Promoting interoperability
100
Improvement activities
40
Cost
76.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue649
Removal of skin lesions13
Removal of nail tissue1-10
Removal or shaving of skin growth15
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K0792TXMDEmergency Medical Services (Emergency Medicine) Physician
M9881IDMDUndersea and Hyperbaric Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Adventist Medical Center CurrentSince Jan 29, 2023 Accepting new patients
Portland Adventist Medical Center CurrentSince Aug 1, 2024 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Oct 1, 2014 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

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

600 N Robbins Rd
Boise, ID 83702
Phone (208) 489-4444

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

3277 E Louise Dr
Ste 410
Meridian, ID 83642
Phone (208) 489-5800

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

14450 SE Royer Rd
Damascus, OR 97089
Phone (503) 658-5521

10201 SE Main St
Ste 9
Portland, OR 97216
Phone (503) 252-4325

Interoperability endpoints

  • Direct secure messaging: wgude154480@direct.ohsu.edu
  • Direct secure messaging: wgude21935@direct.slhs.org

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 11

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1255399820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ROBBINS ROAD",
            "address_2": "THE CENTER FOR WOUND HEALING AND HYPERBARIC MEDICINE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83702",
            "telephone_number": "208-489-5800",
            "fax_number": "208-489-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROBBINS ROAD",
            "address_2": "THE CENTER FOR WOUND HEALING AND HYPERBARIC MEDICINE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83702",
            "telephone_number": "208-489-5800",
            "fax_number": "208-489-4060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3277 E Louise Dr",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836429359",
            "country_code": "US",
            "telephone_number": "208-489-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10201 SE Main St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972162937",
            "country_code": "US",
            "telephone_number": "503-252-4325",
            "fax_number": "503-261-6789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUDE",
        "first_name": "WARREN",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "K0792",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "ID",
            "license": "M-9881",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "OR",
            "license": "MD153967",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "ID",
            "license": "M9881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120628604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.