Active NPI
Kyle R. Yorgason, D.P.M.
- Podiatrist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- P-255
- Practice address
- 1075 N Curtis Rd Ste 300
Boise, ID 83706-1348 - Phone
- (208) 302-3100
- Fax
- (208) 302-3155
- NPI assigned
- Nov 25, 2008
- Last updated
- Jun 10, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC006038 | PA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC006038 | PA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | P-255 | ID | |
| Podiatrist | 213E00000X | P-255 | ID | Primary |
Addresses
Primary practice location
1075 N Curtis Rd Ste 300
Boise, ID 83706-1348
Mailing address
3340 E Goldstone Dr
Meridian, ID 83642-1026
Phone (208) 367-5170
Other practice location 1
2300 Pleasant Valley Rd
York, PA 17402-9627
Phone (717) 757-3537
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1026781600003 | Medicaid | PA | |
| 150016 | Other | PA | GEISINGER |
| P01022651 | Other | PA | PALMETTO / RAILROAD MEDICARE |
| 12933641 | Other | PA | MULTIPLAN |
| 50105709 | Other | PA | CAPITAL BLUE CROSS |
| 2593319 | Other | PA | HIGHMARK BC BS |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3025 W Cherry LN
Meridian, ID 83642-8531
4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000
4424 E Flamingo Ave
Nampa, ID 83687-9291
Phone (208) 302-3200
Hospital & facility affiliations
- Saint Alphonsus Medical Center - Nampa
- Saint Alphonsus Regional Medical Center
- Saint Alphonsus Medical Center Ontario
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 25 |
| Removal of nail tissue | 266 |
| Removal or shaving of skin growth | 61 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P-255 | ID | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Advanced Podiatry Associates, LLC. | Podiatrist | Past | Accepting new patients |
| Certified Wound Care Specialists LLC | Past | Accepting new patients |
Locations
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
1075 N Curtis Rd
Ste 300
Boise, ID 83706
Phone (208) 323-2600
3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342
4424 E Flamingo Ave
Ste 110
Nampa, ID 83687
Phone (208) 288-4700
Interoperability endpoints
- https://api.platform.athenahealth.com/21896/brand/1/csg/1/fhir/r4
- kyorgason1564441@direct.trinity-health.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
-
- Podiatrist
- Northampton, PA
- NPI 1578535159
-
- Adult Health Nurse Practitioner
- Northampton, PA
- NPI 1619357605
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1659371870
-
dba Saint Alphonsus RMC TVL
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
-
dba St Alphonsus Rehabilitation Services
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
-
dba Saint Alphonsus Medical Center Ontario
- General Acute Care Hospital
- Ontario, OR
- NPI 1891891792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1629223110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 E GOLDSTONE DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421026",
"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": "1075 N CURTIS RD STE 300",
"city": "BOISE",
"state": "ID",
"postal_code": "837061348",
"telephone_number": "208-302-3100",
"fax_number": "208-302-3155"
}
],
"practiceLocations": [
{
"address_1": "2300 Pleasant Valley Rd",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174029627",
"country_code": "US",
"telephone_number": "717-757-3537",
"fax_number": "717-718-9701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YORGASON",
"first_name": "KYLE",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-25",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC006038",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC006038",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "ID",
"license": "P-255",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "ID",
"license": "P-255",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1026781600003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "150016",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO / RAILROAD MEDICARE",
"identifier": "P01022651",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "12933641",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50105709",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BC BS",
"identifier": "2593319",
"state": "PA"
}
],
"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 Jun 10, 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.