Individual provider Active NPI

Robert Friedman, MD

  • Physical Medicine & Rehabilitation Physician
  • Boise, ID
National Provider Identifier
1457337446
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
M5327 Issued in ID
Practice address
161 E. Mallard Dr.
Ste 120
Boise, ID 83706
Phone
(208) 884-1333
Fax
(208) 489-4015
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X M5327 ID Primary

Addresses

Primary practice location

161 E. Mallard Dr.
Ste 120
Boise, ID 83706

Mailing address

600 Robbins Rd
#300
Boise, ID 83702-4565
Phone (208) 489-4016

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
I20100825000685 ID Practitioner - Physical Medicine and Rehabilitation 3375638364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Michigan Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Idaho Physical Medicine and Rehabilitation PAGroup PAC ID 3971579954, 10 clinicians

Practice addresses (Care Compare)

161 E Mallard Dr
Suite 120
Boise, ID 83706-5015
Phone (208) 489-4016

3551 E Overland Rd
Meridian, ID 83642-6757
Phone (208) 884-1333

Hospital & facility affiliations

  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M5327IDMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Jun 1, 2016 Accepting new patients
Idaho Physical Medicine and Rehabilitation PA Physical Medicine & Rehabilitation CurrentSince Mar 1, 1988 Accepting new patients
Idaho Physical Medicine and Rehabilitation PA Past Accepting new patients

Locations

600 N Robbins Rd
#300
Boise, ID 83702
Phone (208) 489-4016

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

600 N Robbins Rd
Boise, ID 83702
Phone (208) 489-4444

161 E Mallard Dr
Ste 120
Boise, ID 83706
Phone (208) 639-6621

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

3551 E Overland Rd
Meridian, ID 83642
Phone (208) 489-4016

840 N 4th E
Mountain Home, ID 83647
Phone (208) 587-1850

Interoperability endpoints

  • Direct secure messaging: rfriedman18219@direct.slhs.org

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 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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1457337446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ROBBINS RD",
            "address_2": "#300",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024565",
            "telephone_number": "208-489-4016",
            "fax_number": "208-489-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 E. MALLARD DR.",
            "address_2": "STE 120",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706",
            "telephone_number": "208-884-1333",
            "fax_number": "208-489-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ID",
            "license": "M5327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.