NPIMap

Organization Active NPI

D&G Medical Associates PLLC

  • Family Medicine Physician
  • Meridian, ID
National Provider Identifier
1669975900
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
D&G MEDICAL ASSOCIATES PLLC
Practice address
1430 W Ustick Rd Ste 100
Meridian, ID 83646-7734
Phone
(208) 286-8670
Fax
(888) 990-2969
NPI assigned
Mar 13, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Karen V Fraley
Title
Revenue Cycle Director
Phone
(208) 861-7173

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2241674D&G Medical Associates PLLC1430 W Ustick Rd Ste 100, Meridian, ID 83646ComplianceDec 26, 2026

Medicare participation

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

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20180502002728 ID Part B Supplier - Clinic/Group Practice 6709140510 Receives reassigned benefits from 17 practitioners
Practice locations: McCall, ID; Meridian, ID; Mountain Home, ID; Nampa, ID; Parma, ID; Salmon, ID; Shoshone, ID; Wendell, ID…
O20200923000620 OR Part B Supplier - Clinic/Group Practice 6709140510 Receives reassigned benefits from 1 practitioner
Practice locations: Ontario, OR

National Provider Directory

National Provider Directory

Locations (25 of 36)

10681 W McMillan Rd
Boise, ID 83713
Phone (208) 954-5542

3921 N Kessinger Ln
Boise, ID 83703
Phone (208) 853-7300

3529 E Lake Forest Dr
Boise, ID 83716
Phone (208) 344-2954

3961 N Elgin Way
Boise, ID 83713
Phone (208) 327-9960

13626 W Baldcypress St
Boise, ID 83713
Phone (208) 343-8600

808 N Curtis Rd
Boise, ID 83706
Phone (208) 376-5273

6300 Roe St
Boise, ID 83714
Phone (208) 853-1255

3749 N Cloverdale Rd
Boise, ID 83713
Phone (208) 377-4929

2303 Park Ave
Burley, ID 83318
Phone (208) 677-3073

421 Crescent Dr
Caldwell, ID 83605
Phone (208) 454-4160

3123 Arlington Ave
Caldwell, ID 83605
Phone (208) 459-9009

200 W Beech St
Caldwell, ID 83605
Phone (208) 459-3335

2604 Iowa Ave
Caldwell, ID 83605
Phone (208) 459-2948

1079 S Ancona Ave
Ste 110
Eagle, ID 83616
Phone (208) 475-1805

126 N Story Book Way
Eagle, ID 83616
Phone (208) 939-4602

104 N Story Book Way
Eagle, ID 83616
Phone (208) 938-4552

411 E 12th St
Emmett, ID 83617
Phone (208) 365-9490

715 N Butte Ave
Emmett, ID 83617
Phone (208) 365-1497

8250 W Marigold St
Garden City, ID 83714
Phone (208) 377-3177

110 River Rock Pl
Hagerman, ID 83332
Phone (801) 518-5230

500 Polk St E
Kimberly, ID 83341
Phone (208) 423-5591

3165 N Meridian Rd
Meridian, ID 83646
Phone (208) 287-2064

1695 S Locust Grove Rd
Meridian, ID 83642
Phone (208) 888-0090

39 W Pine Ave
Ste B20
Meridian, ID 83642
Phone (208) 812-2287

1430 W Ustick Rd
Meridian, ID 83646

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCBGBD

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1430 W Ustick Rd Ste 100
Meridian, ID 83646-7734

Mailing address

PO Box 1259
Meridian, ID 83680-1259

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 1, 2023.

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1669975900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1259",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836801259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 W USTICK RD STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467734",
            "telephone_number": "208-286-8670",
            "fax_number": "888-990-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&G MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "FRALEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "208-861-7173"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.