Individual provider Active NPI

Michael T Orloff

  • Physician Assistant
  • Boise, ID
National Provider Identifier
1336547322
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3858 N Garden Center Way Ste 100
Boise, ID 83703-5008
Phone
(208) 385-7711
NPI assigned
Dec 8, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3858 N Garden Center Way Ste 100
Boise, ID 83703-5008

Mailing address

4125 Travis Heights Rd
Yreka, CA 96097-9710
Phone (805) 550-6598

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151009001280 ID Practitioner - Physician Assistant 4486962552 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Teton Valley Health Care, Inc CurrentSince Jan 27, 2021 Accepting new patients
Cep America LLC CurrentSince Aug 1, 2016 Accepting new patients
North Canyon Medical Center Inc. CurrentSince Oct 1, 2019 Accepting new patients
North Canyon Medical Center, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Cep America, LLC CurrentSince Aug 1, 2016 Accepting new patients
Functional Medicine of Idaho PC Past Accepting new patients
Idaho Emergency Physicians, P.a. PastSince Dec 1, 2011 Accepting new patients
Mid-Columbia Medical Center Physician Assistant Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

120 E Howard St
Driggs, ID 83422
Phone (208) 354-2302

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

4300 E Flamingo Ave
Nampa, ID 83687
Phone (208) 205-1000

Interoperability endpoints

  • Direct secure messaging: morloff1563784@direct.trinity-health.org

Organizations & group practices 10

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": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1336547322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 TRAVIS HEIGHTS RD",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960979710",
            "telephone_number": "805-550-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3858 N GARDEN CENTER WAY STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035008",
            "telephone_number": "208-385-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLOFF",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-08",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.