Active NPI
David J Giles, M.D.
- Diagnostic Radiology Physician
- Boise, ID
National Provider Identifier
1295787935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- M3383
- Practice address
- 949 N Curtis Rd
Boise, ID 83706-1307 - Phone
- (208) 947-7000
- NPI assigned
- May 17, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | M3383 | ID | Primary |
| Neuroradiology Physician | 2085N0700X | M3383 | ID |
Addresses
Primary practice location
949 N Curtis Rd
Boise, ID 83706-1307
Mailing address
PO Box 9649
Boise, ID 83707-4649
Phone (208) 472-8126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003716400 | Medicaid | ID |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Minnesota Medical School, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3066 S Whitepost Way
Eagle, ID 83616-6461
Phone (208) 472-8126
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M3383 | ID | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boise Advanced Imaging PLLC | Neuroradiology | Current | Accepting new patients |
| Gem State Radiology LLP | Diagnostic Radiology | Past | Accepting new patients |
Locations
2855 E Magic View Dr
Meridian, ID 83642
Phone (208) 639-4900
1512 12th Ave Rd
Nampa, ID 83686
Phone (208) 463-5000
Organizations & group practices 2
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.
-
- Vascular & Interventional Radiology Physician
- Boise, ID
- NPI 1013946235
Neuroradiology
-
- Diagnostic Radiology Physician
- Boise, ID
- NPI 1083661508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316822400000",
"number": "1295787935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9649",
"city": "BOISE",
"state": "ID",
"postal_code": "837074649",
"telephone_number": "208-472-8126",
"fax_number": "208-472-8172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "949 N CURTIS RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837061307",
"telephone_number": "208-947-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILES",
"first_name": "DAVID",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2011-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ID",
"license": "M3383",
"primary": true
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "ID",
"license": "M3383",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003716400",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.