NPIMap

Individual provider Active NPI

Tara Erbele, M.D.

  • Family Medicine Physician
  • Boise, ID
National Provider Identifier
1427081744
Registry record updated Feb 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-10307 Issued in ID
Practice address
6651 W Franklin Rd
Boise, ID 83709-0914
Phone
(208) 810-2244
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M-10307 ID Primary

Addresses

Primary practice location

6651 W Franklin Rd
Boise, ID 83709-0914

Mailing address

PO Box 45179
Boise, ID 83711-5179
Phone (208) 810-2244

Other identifiers 1

IdentifierTypeStateIssuer
1427081744MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170223000103 ID Practitioner - Family Practice 4486700648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Albany Medical College of Union University, 2006
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)

1520 W State St
Suite 100
Boise, ID 83702-4084
Phone (208) 947-7700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-10307IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Jul 23, 2018 Accepting new patients
Women'S Health Associates, PLLC CurrentSince Nov 26, 2018 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Jul 23, 2018 Accepting new patients
JC Hospitalists PLLC Past Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

1520 W State St
Ste 100
Boise, ID 83702
Phone (208) 947-7700

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

3858 N Garden Center Way
Ste 100
Boise, ID 83703
Phone (208) 385-7711

333 N 1st St
Ste 240
Boise, ID 83702
Phone (208) 338-8900

Interoperability endpoints

  • Direct secure messaging: tara.erbele@269680668311556.direct.elationemr.com
  • Direct secure messaging: tara.erbele@646778017349636.direct.elationemr.com

Organizations & group practices 5

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 7

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487376000000",
    "number": "1427081744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45179",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837115179",
            "telephone_number": "208-810-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 W FRANKLIN RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090914",
            "telephone_number": "208-810-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERBELE",
        "first_name": "TARA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2017-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-10307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427081744",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.