Individual provider Active NPI

Mark A Kropf, MD

  • Family Medicine Physician
  • Meridian, ID
National Provider Identifier
1528052636
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-9637 Issued in ID
Practice address
3140 W Milano Dr
Suite 150
Meridian, ID 83646-7290
Phone
(208) 887-4775
Fax
(208) 888-1344
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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-9637 ID Primary

Addresses

Primary practice location

3140 W Milano Dr
Suite 150
Meridian, ID 83646-7290

Mailing address

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 887-4775

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
I20060927000483 ID Practitioner - Family Practice 5193720076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1998
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)

3140 W Milano Dr
Suite 150
Meridian, ID 83646-7202
Phone (208) 887-4775

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-9637IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Mar 1, 2012 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

2083 E Hospitality Ln
Boise, ID 83716
Phone (208) 333-8345

2051 E Summersweet Dr
Boise, ID 83716
Phone (208) 323-3767

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

12080 W McMillan Rd
Boise, ID 83713
Phone (208) 375-4955

1226 W River St
Boise, ID 83702
Phone (208) 331-1155

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

3090 E Gentry Way
Ste 200
Meridian, ID 83642
Phone (208) 887-4606

3140 W Milano Dr
Ste 150
Meridian, ID 83646
Phone (208) 887-4775

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

Interoperability endpoints

  • Direct secure messaging: mkropf9067@direct.slhs.org

Organizations & group practices 2

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 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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1528052636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-887-4775",
            "fax_number": "208-888-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 W MILANO DR",
            "address_2": "SUITE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467290",
            "telephone_number": "208-887-4775",
            "fax_number": "208-888-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROPF",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-9637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.