Individual provider Active NPI

Scott Marshall Gilmore, MD

  • Emergency Medicine Physician
  • Boise, ID
National Provider Identifier
1457705642
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M-17036 Issued in ID
Practice address
6051 W Emerald St
Boise, ID 83704-8969
Phone
(208) 302-5150
Fax
(208) 302-5155
NPI assigned
Apr 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X S2313 TX
Emergency Medicine Physician 207P00000X A169082 CA
Emergency Medicine Physician 207P00000X M-17036 ID Primary

Addresses

Primary practice location

6051 W Emerald St
Boise, ID 83704-8969

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170

Other practice location 1

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, ID3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190923001450 TX Practitioner - Emergency Medicine 8628360062 Reassigns benefits to 5 organizations
I20210524001233 CA Practitioner - Emergency Medicine 8628360062 Reassigns benefits to 5 organizations
I20231228000603 ID Practitioner - Emergency Medicine 8628360062 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wake Forest University School of Medicine, 2016
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)

100 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2983

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-9384

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

  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006
  • St Luke'S Nampa Medical Center Hospital, Nampa, ID, CCN 130071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A169082CAMDEmergency Medicine Physician
M-17036IDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lechee Health Facility Family Medicine CurrentSince Sep 25, 2019 Accepting new patients
County of Los Angeles Current Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Nov 28, 2024 Accepting new patients
Presbyterian Healthcare Services Family Medicine Current Accepting new patients
Texas Emergency Group LLC Emergency Medicine CurrentSince Dec 10, 2021 Accepting new patients
Western Sierra Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince May 1, 2021 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Jackson County Hospital District Emergency Medicine CurrentSince Sep 7, 2019 Accepting new patients
Sierra ER Department Physicians Medical Group Inc. Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
County of Los Angeles Current Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Feb 12, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Sep 25, 2019 Accepting new patients
County of Los Angeles CurrentSince Feb 12, 2024 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Nov 28, 2024 Accepting new patients
Tuba City Regional Health Care Corporation Emergency Medicine Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Dec 15, 2023 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Emergency Medicine CurrentSince Dec 15, 2024 Accepting new patients
Elite Hospitalist Medical Group, Inc. CurrentSince May 1, 2021 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Family Medicine CurrentSince Dec 15, 2023 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Dec 15, 2024 Accepting new patients
Jackson County Hospital District CurrentSince Sep 7, 2019 Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Feb 12, 2024 Accepting new patients

Locations (25 of 28)

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240

1108 N Oleander Ave
Compton, CA 90222
Phone (310) 763-2244

335 E Avenue I
Lancaster, CA 93535
Phone (661) 471-4000

1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225

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

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

6051 W Emerald St
Boise, ID 83704
Phone (208) 302-5100

910 NW 16th St
Ste 101
Fruitland, ID 83619
Phone (208) 452-8000

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

9645 Barker Cypress Rd
Cypress, TX 77433
Phone (281) 256-1456

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

26271 Northwest Fwy
Cypress, TX 77429
Phone (281) 949-1500

1013 S Wells St
Edna, TX 77957
Phone (361) 782-5241

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

22475 Tomball Pkwy
Houston, TX 77070
Phone (281) 320-5800

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

1717 Highway 59 Loop N
Livingston, TX 77352
Phone (936) 329-8500

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

Interoperability endpoints

  • Direct secure messaging: sgilmore246653@direct.phs.org
  • Direct secure messaging: smmsmgilm@yourcarecommunity.org
  • Direct secure messaging: sgilmore3093847@direct.trinity-health.org

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 3

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": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1457705642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048969",
            "telephone_number": "208-302-5150",
            "fax_number": "208-302-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 Ogletown Stanton Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "302-733-1042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "SCOTT",
        "middle_name": "MARSHALL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-14",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S2313",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A169082",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "M-17036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.