Active NPI
Gregory G Janos, MD
- Pediatrics Physician
- Boise, ID
National Provider Identifier
1336133776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M11029
- Practice address
- 100 E Idaho St
Suite 200
Boise, ID 83712-6267 - Phone
- (208) 381-7384
- NPI assigned
- Aug 31, 2005
- Last updated
- Feb 6, 2014
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M11029 | ID | Primary |
| Pediatric Cardiology Physician | 2080P0202X | G33130 | CA |
Addresses
Primary practice location
100 E Idaho St
Suite 200
Boise, ID 83712-6267
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M11029 | ID | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perinatal & Pediatric Specialists Medical Group Inc. | Past | Accepting new patients | |
| Sutter Valley Medical Foundation | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Childrens Specialist Medical Group of Sacramento
- Specialist
- Sacramento, CA
- NPI 1114007432
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391644800000",
"number": "1336133776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E IDAHO ST",
"address_2": "SUITE 200",
"city": "BOISE",
"state": "ID",
"postal_code": "837126267",
"telephone_number": "208-381-7384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANOS",
"first_name": "GREGORY",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2014-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ID",
"license": "M11029",
"primary": true
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "CA",
"license": "G33130",
"primary": false
}
],
"identifiers": [],
"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 Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.