Individual provider Active NPI

Melinda L. Marks, MD

  • Clinical Cardiac Electrophysiology Physician
  • Boise, ID
National Provider Identifier
1669409785
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
M7003 Issued in ID
Practice address
300 E Jefferson St
Ste 101
Boise, ID 83712-6246
Phone
(208) 322-1680
Fax
(208) 322-1695
NPI assigned
Jun 26, 2006
Sex
Female
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
Clinical Cardiac Electrophysiology Physician 207RC0001X M7003 ID Primary

Addresses

Primary practice location

300 E Jefferson St
Ste 101
Boise, ID 83712-6246

Mailing address

190 E Bannock St
Boise, ID 83712
Phone (208) 322-1680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20051117000611 ID Practitioner - Cardiac ElectrophysiologyPractitioner - Allergy/ImmunologyPractitioner - Cardiovascular Disease (Cardiology) 5294754370 Reassigns benefits to 1 organization
I20120712000122 OR Practitioner - Cardiac Electrophysiology 5294754370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
University of Washington School of Medicine, 1985
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

12080 W McMillan Rd
Boise, ID 83713-2462
Phone (208) 375-4955

1210 NW 16TH St
Fruitland, ID 83619-2202
Phone (208) 452-8600

130 E Boise Ave
Boise, ID 83706-4302
Phone (208) 345-4066

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

2083 E Hospitality LN
Boise, ID 83716-6603
Phone (208) 333-8345

287 W Jefferson St
Boise, ID 83702-6045
Phone (208) 343-7940

300 E Jefferson St
Boise, ID 83712-6221
Phone (208) 322-1680

3101 E State St
Eagle, ID 83616-6232

3445 Pocahontas Rd
Baker City, OR 97814-3599
Phone (541) 523-1001

3525 E Louise Dr
Meridian, ID 83642-6303

3950 17TH St
Baker City, OR 97814-1300
Phone (541) 523-1001

520 S Eagle Rd
Meridian, ID 83642-6351

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

805 N 6TH
Mountain Home, ID 83647-2207
Phone (208) 587-2450

895 N 6TH
Mountain Home, ID 83647-2207
Phone (208) 587-8401

9580 W St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 505-2711

9850 St Lukes Dr
Nampa, ID 83687-7912

9850 W St Luke'S Dr
Nampa, ID 83687-7912

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
  • St Luke'S McCall Hospital, McCall, ID, CCN 131312
  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007
  • St Luke'S Elmore Medical Center Hospital, Mountain Home, ID, CCN 131311

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
81.29
Promoting interoperability
100
Improvement activities
40
Cost
76.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair60

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7003IDMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Jun 1, 2012 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Internal Medicine CurrentSince Mar 1, 2012 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Internal Medicine CurrentSince Mar 1, 2012 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients
Idaho Cardiology Associates PA Cardiovascular Disease Past Accepting new patients
Saint Alphonsus Medical Center Nampa, Inc. Past Accepting new patients
Gooding County Hospital District Past Accepting new patients
Saint Alphonsus Regional Medical Center Inc Past Accepting new patients
Saint Alphonsus Regional Medical Center Inc Internal Medicine Past Accepting new patients

Locations

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

100 E Idaho St
Boise, ID 83712
Phone (208) 343-3223

287 W Jefferson St
Boise, ID 83702
Phone (208) 343-7940

300 E Jefferson St
Ste 201
Boise, ID 83712
Phone (208) 336-4141

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

300 E Jefferson St
Boise, ID 83712
Phone (208) 336-4141

300 E Jefferson St
Ste 101
Boise, ID 83712
Phone (208) 336-4141

315 E Elm St
Ste 350
Caldwell, ID 83605
Phone (208) 454-6363

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

520 S Eagle Rd
Ste 3104
Meridian, ID 83642
Phone (208) 373-1200

3277 E Louise Dr
Ste 150
Meridian, ID 83642
Phone (208) 388-7239

215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234

645 E 5th St
Weiser, ID 83672
Phone (208) 549-0370

3950 17th St
Ste A
Baker City, OR 97814
Phone (541) 523-1001

3950 17th St
Baker City, OR 97814
Phone (541) 523-1001

Interoperability endpoints

  • Direct secure messaging: mmarks13791@direct.slhs.org

Organizations & group practices 9

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 11

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1669409785",
    "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": "83712",
            "telephone_number": "208-322-1680",
            "fax_number": "208-322-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E JEFFERSON ST",
            "address_2": "STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126246",
            "telephone_number": "208-322-1680",
            "fax_number": "208-322-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "MELINDA",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "ID",
            "license": "M7003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.