Individual provider Active NPI

David J Giles, M.D.

  • Diagnostic Radiology Physician
  • Boise, ID
National Provider Identifier
1295787935
Registry record updated Sep 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M3383 Issued in ID
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

Updated by the provider on Sep 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003716400MedicaidID

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050322000959 ID Practitioner - Diagnostic Radiology 0648225979 Reassigns benefits to 1 organization

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
Boise Advanced Imaging PLLCGroup PAC ID 1850346180, 2 clinicians

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

LicenseStateTypeSpecialty
M3383IDMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boise Advanced Imaging PLLC Neuroradiology CurrentSince Jan 1, 2005 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.

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

Verify at the official NPI Registry.