Active NPI
Robert Friedman, MD
- Physical Medicine & Rehabilitation Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- M5327
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M5327 | ID | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Current | Accepting new patients | |
| Idaho Physical Medicine and Rehabilitation PA | Physical Medicine & Rehabilitation | Current | 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
- 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.
-
- Physical Medicine & Rehabilitation Physician
- Meridian, ID
- NPI 1497711329
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
-
- Ambulatory Surgical Clinic/Center
- Meridian, ID
- NPI 1497949705
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.