Individual provider Active NPI

Jonathan Boyd, DO

  • Internal Medicine Physician
  • Sahuarita, AZ
National Provider Identifier
1306334974
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
O-1500 Issued in ID
Practice address
203 E Camino del Abeto
Sahuarita, AZ 85629-8562
Phone
(208) 226-6544
NPI assigned
Apr 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OP61260442 WA
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X O-1500 ID Primary

Addresses

Primary practice location

203 E Camino del Abeto
Sahuarita, AZ 85629-8562

Mailing address

431 Derby LN
Hope Mills, NC 28348-9120

Other practice location 1

415 6TH St
Lewiston, ID 83501
Phone (208) 799-6670

Other practice location 2

835 SE Bishop Blvd
Pullman, WA 99163-5512
Phone (509) 332-2541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA2 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
I20210721004245 ID Practitioner - Internal Medicine 7113278680 Reassigns benefits to 2 organizations
I20221217000350 WA Practitioner - Internal Medicine 7113278680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Hospital District 1-a of Whitman CountyGroup PAC ID 8325934987, 86 clinicians

Practice addresses (Care Compare)

835 SE Bishop Blvd
Pullman, WA 99163-5512
Phone (509) 332-2541

Hospital & facility affiliations

  • Pullman Regional Hospital Hospital, Pullman, WA, CCN 501331
  • St Joseph Regional Medical Center Hospital, Lewiston, ID, CCN 130003
  • St Joseph Regional Medical Center Inpatient rehabilitation facility, Lewiston, ID, CCN 13T003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O-1500IDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kootenai Health, Inc. Current Accepting new patients
Kootenai Health, Inc. CurrentSince Mar 16, 2022 Accepting new patients
St Joseph Hospital LLC Internal Medicine CurrentSince Mar 12, 2024 Accepting new patients
Public Hospital District #1-a of Whitman County CurrentSince Aug 24, 2024 Accepting new patients
Incyte Pathology, PLLC Current Accepting new patients
St. Joseph Hospital LLC Past Accepting new patients
Public Hospital District #1-a of Whitman County Past Accepting new patients

Locations

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

821 21st Ave
Lewiston, ID 83501
Phone (208) 799-3422

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

307 Saint Johns Way
Ste 1
Lewiston, ID 83501
Phone (208) 743-3998

307 Saint Johns Way
Ste 11
Lewiston, ID 83501
Phone (208) 743-7612

1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564

1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312

825 SE Bishop Blvd
Ste 201
Pullman, WA 99163
Phone (509) 336-7577

835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541

Interoperability endpoints

  • Direct secure messaging: jboyd659326@direct.multicare.org

Organizations & group practices 7

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 4

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": "1524873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1306334974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 DERBY LN",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283489120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E CAMINO DEL ABETO",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298562",
            "telephone_number": "208-226-6544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 6TH ST",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "83501",
            "country_code": "US",
            "telephone_number": "208-799-6670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 SE Bishop Blvd",
            "address_purpose": "LOCATION",
            "city": "Pullman",
            "state": "WA",
            "postal_code": "991635512",
            "country_code": "US",
            "telephone_number": "509-332-2541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "JONATHAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-28",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "OP61260442",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "O-1500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sahuarita, AZ

Sources for this page

Verify at the official NPI Registry.