Active NPI
Travis Jay Kemp, MD
- Orthopaedic Foot and Ankle Surgery Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- M-10673
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 808378000 | Medicaid | ID |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
Practice addresses (Care Compare)
7979 W Rifleman St
Suite 100
Boise, ID 83704-9066
Phone (208) 855-2410
Hospital & facility affiliations
- Treasure Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Orthopaedics LLC | Foot and Ankle Surgery | Current | Accepting new patients |
| Allied Orthopaedics LLC | Foot and Ankle Surgery | Current | Accepting new patients |
| Direct Orthopedic Care LLC | Foot and Ankle Surgery | Current | Accepting new patients |
| Direct Orthopedic Care LLC | Current | Accepting new patients | |
| Sawtooth Physical Therapy | Past | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Treasure Valley Hospital | 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.
-
- Special Hospital
- Boise, ID
- NPI 1720040132
Limited Partnership Interest
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.
-
- Orthopaedic Surgery Physician
- Boise, ID
- NPI 1750563540
Foot and Ankle Surgery, ID
-
- Orthopaedic Surgery Physician
- Meridian, ID
- NPI 1336816909
Foot and Ankle Surgery
-
- Orthopaedic Surgery Physician
- Meridian, ID
- NPI 1760840987
-
- Orthopaedic Surgery Physician
- Meridian, ID
- NPI 1588331268
Foot and Ankle Surgery
-
- Trauma Surgery Physician
- Boise, ID
- NPI 1093040479
-
- Hand Occupational Therapist
- Meridian, ID
- NPI 1003582040
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.