Individual provider Active NPI

Katherine Jane Gentry, M.D.

  • Obstetrics & Gynecology Physician
  • Meridian, ID
National Provider Identifier
1356704563
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M15231 Issued in ID
Practice address
3520 E Louise Dr
Meridian, ID 83642-6304
Phone
(208) 888-0909
Fax
(208) 888-5825
NPI assigned
Apr 4, 2016
Last updated
May 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M15231 ID Primary

Addresses

Primary practice location

3520 E Louise Dr
Meridian, ID 83642-6304

Mailing address

3520 E Louise Dr
Meridian, ID 83642-6304
Phone (208) 888-0909

Other practice location 1

University Of Utah Dept Obgyn
Salt Lake City, UT 84132-2209
Phone (801) 581-7647

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katherine.gentry.p1@direct.obgynidaho.nextgenshare.com OB-GYN Associates, PA

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
I20200727002843 ID Practitioner - Obstetrics/Gynecology 2860759032 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Utah School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB-GYN Associates, PAGroup PAC ID 4082519467, 15 clinicians

Practice addresses (Care Compare)

3520 E Louise Dr
Meridian, ID 83642-6304
Phone (208) 888-0909

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M15231IDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
T-Medica Mobil Anesthesia Inc. CurrentSince Apr 17, 2022 Accepting new patients
OB-GYN Associates, PA Obstetrics & Gynecology CurrentSince Sep 20, 2020 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Obstetrics & Gynecology CurrentSince Dec 10, 2025 Accepting new patients

Locations

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

3520 E Louise Dr
Meridian, ID 83642
Phone (208) 454-2035

9850 W St Lukes Dr
#221
Nampa, ID 83687
Phone (208) 455-1784

9850 W St Lukes Dr
Ste 129
Nampa, ID 83687
Phone (208) 205-7600

Interoperability endpoints

  • Direct secure messaging: katherine.gentry.p1@direct.obgynidaho.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1356704563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 E LOUISE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426304",
            "telephone_number": "208-888-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 E LOUISE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426304",
            "telephone_number": "208-888-0909",
            "fax_number": "208-888-5825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of Utah Dept Obgyn",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841322209",
            "country_code": "US",
            "telephone_number": "801-581-7647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "KATHERINE",
        "middle_name": "JANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ID",
            "license": "M15231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherine.gentry.p1@direct.obgynidaho.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "OB-GYN Associates, PA",
            "address_1": "3520 E. Louise Dr",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "83642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.