Individual provider Active NPI

Adam C Reynolds, M.D.

  • Ophthalmology Physician
  • Boise, ID
National Provider Identifier
1417916586
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
M9578 Issued in ID
Practice address
999 N Curtis Rd Ste 205
Boise, ID 83706-1316
Phone
(208) 373-1200
NPI assigned
Mar 18, 2006
Last updated
Dec 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X M9578 ID Primary

Addresses

Primary practice location

999 N Curtis Rd Ste 205
Boise, ID 83706-1316

Mailing address

999 N Curtis Rd Ste 205
Boise, ID 83706-1316
Phone (208) 373-1200

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
I20060829000015 ID Practitioner - Ophthalmology 1052315348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Washington School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

999 N Curtis Rd
Suite 205
Boise, ID 83706-1316
Phone (208) 373-1200

Merit-based Incentive Payment System (MIPS)

Final score
83.09 of 100Reported as group
Quality
72.7
Improvement activities
40
Cost
80.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery288
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M9578IDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Eye and Laser Centers PLLC Ophthalmology CurrentSince Aug 22, 2006 Accepting new patients
Intermountain Eye and Laser Centers PLLC Ophthalmology CurrentSince Aug 22, 2006 Accepting new patients
Dean McGee Eye Institute Ophthalmology Past Accepting new patients

Locations

251 E Front St
Ste 110
Boise, ID 83702
Phone (208) 342-2706

999 N Curtis Rd
Ste 205
Boise, ID 83706
Phone (208) 373-1200

323 E Riverside Dr
Ste 122
Eagle, ID 83616
Phone (208) 373-1200

3090 E Gentry Way
Ste 120
Meridian, ID 83642
Phone (208) 373-1200

3090 E Gentry Way
Ste 140
Meridian, ID 83642
Phone (208) 401-0231

3090 E Gentry Way
Ste 150
Meridian, ID 83642
Phone (208) 389-2276

16165 N High Desert St
Nampa, ID 83687
Phone (208) 373-1200

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1417916586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N CURTIS RD STE 205",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061316",
            "telephone_number": "208-373-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N CURTIS RD STE 205",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061316",
            "telephone_number": "208-373-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ADAM",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ID",
            "license": "M9578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.