Active NPI
P. Roman Burk DPM PC
Doing business as Rocky Mountaint Foot & Ankle
- Foot & Ankle Surgery Podiatrist
- Meridian, ID
National Provider Identifier
1649563347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- P197
- Legal business name
- P. ROMAN BURK DPM PC
- Doing business as
- Rocky Mountaint Foot & Ankle
- Practice address
- 2667 E Gala CT Ste 130
Meridian, ID 83642-2788 - Phone
- (208) 795-5090
- NPI assigned
- May 27, 2011
- Last updated
- Sep 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amber D Mahan
- Title
- Practice Mananger
- Phone
- (208) 795-5090
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Podiatrist | 213E00000X | P197 | ID | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | P197 | ID | Primary |
Addresses
Primary practice location
2667 E Gala CT Ste 130
Meridian, ID 83642-2788
Mailing address
1818 S 10TH Ave Ste 250
Caldwell, ID 83605-4838
Phone (208) 855-5955
Other practice location 1
1818 S 10th Ave
#250
Caldwell, ID 83605-4803
Phone (208) 459-0891
Other practice location 2
4605 Enterprise Way Ste 103
Caldwell, ID 83605-6889
Phone (208) 855-5955
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 808001900 | Medicaid | ID | |
| 000000000154263 | Other | ID | REGENCE |
| P9383 | Other | ID | BLUE CROSS |
Other names 1
- Rocky Mountaint Foot & Ankle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 2
National Provider Directory
National Provider Directory- Tax ID family
- P Roman Burk DPM PC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Foot & Ankle Medical Center
- Non-Pharmacy Dispensing Site
- Caldwell, ID
- NPI 1598035917
Locations
4605 Enterprise Way
Ste 103
Caldwell, ID 83605
Phone (208) 855-5955
1828 S Millenium Way
Ste 200
Meridian, ID 83642
Phone (208) 344-3324
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Foot & Ankle Surgery Podiatrist
- Meridian, ID
- NPI 1760045538
-
- Foot & Ankle Surgery Podiatrist
- Caldwell, ID
- NPI 1306064258
-
- Podiatrist
- Meridian, ID
- NPI 1609846237
-
- Foot & Ankle Surgery Podiatrist
- Caldwell, ID
- NPI 1114207917
-
- Foot Surgery Podiatrist
- Meridian, ID
- NPI 1528166485
-
- Family Nurse Practitioner
- Caldwell, ID
- NPI 1780092130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1649563347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 S 10TH AVE STE 250",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836054838",
"telephone_number": "208-855-5955",
"fax_number": "208-459-8628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2667 E GALA CT STE 130",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836422788",
"telephone_number": "208-795-5090"
}
],
"practiceLocations": [
{
"address_1": "1818 S 10th Ave",
"address_2": "#250",
"address_purpose": "LOCATION",
"city": "Caldwell",
"state": "ID",
"postal_code": "836054803",
"country_code": "US",
"telephone_number": "208-459-0891",
"fax_number": "208-459-8628",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4605 Enterprise Way Ste 103",
"address_purpose": "LOCATION",
"city": "Caldwell",
"state": "ID",
"postal_code": "836056889",
"country_code": "US",
"telephone_number": "208-855-5955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "P. ROMAN BURK DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-27",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "MAHAN",
"authorized_official_first_name": "AMBER",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRACTICE MANANGER",
"authorized_official_telephone_number": "208-795-5090"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "ID",
"license": "P197",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "ID",
"license": "P197",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "808001900",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "000000000154263",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "P9383",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rocky Mountaint Foot & Ankle",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rocky Mountaint Foot & Ankle",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.