Individual provider Active NPI

Travis Jay Kemp, MD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Boise, ID
National Provider Identifier
1669607172
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
M-10673 Issued in ID
Practice address
7979 W Rifleman St
Boise, ID 83704-9066
Phone
(208) 855-2410
Fax
(208) 855-0157
NPI assigned
May 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X M-10673 ID Primary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X MD151135 OR

Addresses

Primary practice location

7979 W Rifleman St
Boise, ID 83704-9066

Mailing address

7979 W Rifleman St
Boise, ID 83704-9066
Phone (208) 855-2410

Other identifiers 1

IdentifierTypeStateIssuer
808378000MedicaidID

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
I20090814000364 ID Practitioner - Orthopedic Surgery 8426102138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York Medical College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Orthopaedics LLCGroup PAC ID 8325351638, 14 clinicians

Practice addresses (Care Compare)

7979 W Rifleman St
Suite 100
Boise, ID 83704-9066
Phone (208) 855-2410

Hospital & facility affiliations

  • Treasure Valley Hospital Hospital, Boise, ID, CCN 130063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Orthopaedics LLC Foot and Ankle Surgery CurrentSince May 1, 2015 Accepting new patients
Allied Orthopaedics LLC Foot and Ankle Surgery CurrentSince May 1, 2015 Accepting new patients
Direct Orthopedic Care LLC Foot and Ankle Surgery CurrentSince Mar 24, 2014 Accepting new patients
Direct Orthopedic Care LLC CurrentSince Sep 1, 2014 Accepting new patients
Sawtooth Physical Therapy PastSince Apr 10, 2018 Accepting new patients
Saint Alphonsus Specialty Services Inc Past Accepting new patients

Locations

7979 W Rifleman St
Ste 110
Boise, ID 83704
Phone (208) 321-4000

7979 W Rifleman St
Boise, ID 83704
Phone (208) 321-4000

1789 S Broadway Ave
Ste 100
Boise, ID 83706
Phone (208) 287-0203

7979 W Rifleman St
Ste 100
Boise, ID 83704
Phone (208) 375-6133

3015 E Magic View Dr
Ste 120
Meridian, ID 83642

3015 E Magic View Dr
Ste 115
Meridian, ID 83642
Phone (208) 321-4000

3015 E Magic View Dr
Ste 130
Meridian, ID 83642
Phone (208) 482-5567

16818 N Marketplace Blvd
Nampa, ID 83687
Phone (208) 321-4000

Interoperability endpoints

  • Direct secure messaging: tkemp@alliedortho.direct.kno2fy.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Treasure Valley HospitalBoise, ID, CCN 130063 Hospital Limited Partnership Interest (1.64%) Jun 30, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 1

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": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1669607172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7979 W RIFLEMAN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049066",
            "telephone_number": "208-855-2410",
            "fax_number": "208-855-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7979 W RIFLEMAN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049066",
            "telephone_number": "208-855-2410",
            "fax_number": "208-855-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "TRAVIS",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "ID",
            "license": "M-10673",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "OR",
            "license": "MD151135",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808378000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.