NPIMap

Individual provider Active NPI

Mikael D Lagwinski, MD

  • Rheumatology Physician
  • Meridian, ID
National Provider Identifier
1679540363
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
M-9599 Issued in ID
Practice address
3277 E Louise Dr Ste 350
Meridian, ID 83642-5510
Phone
(208) 887-9500
Fax
(208) 887-9800
NPI assigned
Mar 2, 2006
Last updated
Feb 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X M-9599 ID Primary

Addresses

Primary practice location

3277 E Louise Dr Ste 350
Meridian, ID 83642-5510

Mailing address

998 E Shadow Creek LN
Eagle, ID 83616-2750
Phone (903) 241-1474

Other identifiers 1

IdentifierTypeStateIssuer
M-9599OtherIDIDAHO BOARD OF MEDICINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060711000451 ID Practitioner - Rheumatology 3173506748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Northeastern Ohio University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Arthritis and Osteoporosis Center PCGroup PAC ID 2769495464, 6 clinicians

Practice addresses (Care Compare)

3277 E Louise Dr
Suite 350
Meridian, ID 83642-5510
Phone (208) 887-9500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.03 of 100Reported as group
Quality
100
Improvement activities
40
Cost
70.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9599IDMDCounselor
M-9599IDMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Arthritis & Osteoporosis Center PC CurrentSince Jul 1, 2006 Accepting new patients
Associated Clinicians of East Texas PastSince Jan 1, 1990 Accepting new patients

Locations

1818 S 10th Ave
Ste 120
Caldwell, ID 83605
Phone (208) 468-5959

1906 Fairview Ave
Ste 220
Caldwell, ID 83605
Phone (208) 795-5072

3277 E Louise Dr
Ste 350
Meridian, ID 83642
Phone (208) 887-9500

Interoperability endpoints

  • Direct secure messaging: alexandra.beattie.p1@direct.idahoarthritis.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mikael.lagwinski.p1@direct.idahoarthritis.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1679540363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 E SHADOW CREEK LN",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836162750",
            "telephone_number": "903-241-1474",
            "fax_number": "903-232-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3277 E LOUISE DR STE 350",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425510",
            "telephone_number": "208-887-9500",
            "fax_number": "208-887-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGWINSKI",
        "first_name": "MIKAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "ID",
            "license": "M-9599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO BOARD OF MEDICINE",
            "identifier": "M-9599",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.