Active NPI
Amber Lee Elliott, D.O.
- Surgery Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- O-1263
- Practice address
- 8950 W Emerald St Ste 195
Boise, ID 83704-8296 - Phone
- (208) 999-3034
- NPI assigned
- Apr 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 1619396785 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | O-1263 | ID | Primary |
Addresses
Primary practice location
8950 W Emerald St Ste 195
Boise, ID 83704-8296
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 412-4530
Other practice location 1
7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (210) 567-7000
Other practice location 2
100 E Warm Springs Ave
Boise, ID 83712
Phone (208) 381-6930
Other practice location 3
520 S Eagle Rd Ste 1241
Meridian, ID 83642-6355
Phone (208) 381-6930
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
- General Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8854 W Emerald St
Suite 270
Boise, ID 83704-4860
Phone (208) 386-0390
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 81.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.37
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1619396785 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Surgery | Current | Accepting new patients |
| Granite Mountain Surgery PLLC | Surgery | Current | Accepting new patients |
| St Lukes Clinic-Treasure Valley LLC | Current | Accepting new patients |
Locations
8854 W Emerald St
Ste 270
Boise, ID 83704
Phone (208) 386-0390
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
8950 W Emerald St
Ste 195
Boise, ID 83704
Phone (208) 376-7313
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
520 S Eagle Rd
Ste 1241
Meridian, ID 83642
Phone (208) 288-2255
Interoperability endpoints
- apedracini128702@direct.slhs.org
- amber.elliott@gmsurgery.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/BIGHDD/Endpoint/BIGHDD
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.
-
- Surgery Physician
- Boise, ID
- NPI 1477359909
-
dba St Lukes RHC - Trinity Mountain
- Family Medicine Physician
- Mountain Home, ID
- NPI 1417297821
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Boise, ID
- NPI 1720040132
-
- General Acute Care Hospital
- Middleton, ID
- NPI 1609818483
-
dba West Valley Medical Center
- General Acute Care Hospital
- Caldwell, ID
- NPI 1891732905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1619396785",
"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": "208-412-4530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8950 W EMERALD ST STE 195",
"city": "BOISE",
"state": "ID",
"postal_code": "837048296",
"telephone_number": "208-999-3034"
}
],
"practiceLocations": [
{
"address_1": "7703 Floyd Curl Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782293901",
"country_code": "US",
"telephone_number": "210-567-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 E Warm Springs Ave",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "83712",
"country_code": "US",
"telephone_number": "208-381-6930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "520 S Eagle Rd Ste 1241",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836426355",
"country_code": "US",
"telephone_number": "208-381-6930",
"fax_number": "208-381-6931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLIOTT",
"first_name": "AMBER",
"middle_name": "LEE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-15",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "1619396785",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ID",
"license": "O-1263",
"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 Mar 13, 2025; 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.