Individual provider Active NPI

Misa Perron-Burdick, MD

  • Obstetrics & Gynecology Physician
  • Meridian, ID
National Provider Identifier
1386952117
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M-16679 Issued in ID
Practice address
520 S Eagle Rd Ste 3209
Meridian, ID 83642-6356
Phone
(208) 706-3220
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A112385 CA
Obstetrics & Gynecology Physician 207V00000X M-16679 ID Primary

Addresses

Primary practice location

520 S Eagle Rd Ste 3209
Meridian, ID 83642-6356

Mailing address

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-8752

Other practice location 1

1001 Potrero Ave Ward 6D
San Francisco General Hospital
Albuquerque, NM 87131-0001
Phone (505) 272-4155

Other practice location 2

207 1st St S
Nampa, ID 83651-3703
Phone (208) 466-7869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ID2 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
I20120702000133 CA Practitioner - Obstetrics/Gynecology 7911162680 Reassigns benefits to 2 organizations
I20221007001109 ID Practitioner - Obstetrics/Gynecology 7911162680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Warren Alpert Medical School of Brown University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

1001 Potrero Ave
San Francisco, CA 94110-3518

1001 Potrero Ave BLDG 80 Ward 83
Suite 32
San Francisco, CA 94110-3518
Phone (628) 206-8610

520 S Eagle Rd
Meridian, ID 83642-6356

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112385CAMDMarriage & Family Therapist
A112385CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC Obstetrics & Gynecology CurrentSince Aug 31, 2022 Accepting new patients
University of California SFGH Medical Group CurrentSince Jul 1, 2012 Accepting new patients
City & County of San Francisco Current Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
City & County of San Francisco CurrentSince Jul 1, 2012 Accepting new patients
City and County of San Francisco CurrentSince Jul 1, 2012 Accepting new patients
University of California SFGH Medical Group Obstetrics & Gynecology CurrentSince Jul 1, 2012 Accepting new patients
UCSF Medical Group Business Services Obstetrics & Gynecology Past Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

1001 Potrero Ave
#6D
San Francisco, CA 94110
Phone (415) 206-3061

2401 Keith St
San Francisco, CA 94124
Phone (415) 671-7000

1001 Potrero Ave
Bldg 20
San Francisco, CA 94110
Phone (415) 206-8524

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Rm 6D14
San Francisco, CA 94110
Phone (415) 206-5679

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

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

520 S Eagle Rd
Ste 3213
Meridian, ID 83642
Phone (208) 323-2600

520 S Eagle Rd
Ste 3209
Meridian, ID 83642
Phone (208) 345-5250

215 E Hawaii Ave
Ste 140
Nampa, ID 83686
Phone (208) 514-2529

Interoperability endpoints

  • Direct secure messaging: mperronburdick600640@direct.ochin.org

Organizations & group practices 11

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 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": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1386952117",
    "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",
            "telephone_number": "208-381-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S EAGLE RD STE 3209",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426356",
            "telephone_number": "208-706-3220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Potrero Ave Ward 6D",
            "address_2": "San Francisco General Hospital",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-4155",
            "fax_number": "505-272-3918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 1st St S",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836513703",
            "country_code": "US",
            "telephone_number": "208-466-7869",
            "fax_number": "208-466-5359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRON-BURDICK",
        "first_name": "MISA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A112385",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ID",
            "license": "M-16679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.