Individual provider Active NPI

Charles W Coffey, M.D.

  • Emergency Medicine Physician
  • Boise, ID
National Provider Identifier
1689016412
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
04-37537 Issued in KS
Practice address
1055 N Curtis Rd
Boise, ID 83706
Phone
(208) 367-6995
Fax
(208) 367-6953
NPI assigned
Jul 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9408267 KS
Pediatrics Physician 208000000X M-14360 ID
Emergency Medicine Physician 207P00000X 04-37537 KS Primary

Addresses

Primary practice location

1055 N Curtis Rd
Boise, ID 83706

Mailing address

3340 E Goldstone Way
Meridian, ID 83642
Phone (208) 367-6995

Other practice location 1

1701 E 23rd Ave
Hutchinson, KS 67502-9907
Phone (877) 346-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, ID2 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
I20170106001827 KS Practitioner - Emergency MedicinePractitioner - Internal MedicinePractitioner - Family PracticePractitioner - Pediatric Medicine 3274767348 Reassigns benefits to 6 organizations
I20181218003125 ID Practitioner - Pediatric Medicine 3274767348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine, Pediatric Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McPherson Hospital IncGroup PAC ID 1153232418, 66 clinicians
Carepoint Emergency Medicine Kansas LLCGroup PAC ID 9537440367, 79 clinicians

Practice addresses (Care Compare)

1000 Hospital Dr
McPherson, KS 67460-2326
Phone (620) 241-7400

550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 962-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9408267KSMDFamily Medicine Physician
M-14360IDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hutchinson Regional Medical Center, Inc. Emergency Medicine Current Accepting new patients
University of Kansas School of Medicine Wichita Medical Practice Assoc Family Medicine CurrentSince Apr 9, 2018 Accepting new patients
Boundary Community Hospital Current Accepting new patients
Sound Physicians Emergency Medicine of Kansas, LLC Emergency Medicine CurrentSince Mar 15, 2021 Accepting new patients
Carepoint Emergency Medicine Kansas LLC Emergency Medicine CurrentSince May 12, 2025 Accepting new patients
Boundary Community Hospital Family Medicine CurrentSince May 1, 2025 Accepting new patients
Boundary Community Hospital CurrentSince May 1, 2025 Accepting new patients
Newman Memorial County Hospital Current Accepting new patients
Family Practice Associates of McPherson, L.L.P. Family Medicine Current Accepting new patients
McPherson Hospital, Inc. Family Medicine Current Accepting new patients
Hutchinson Regional Medical Center, Inc. Family Medicine CurrentSince Aug 3, 2024 Accepting new patients
Norton County Hospital PastSince Feb 5, 2019 Accepting new patients
Newman Memorial County Hospital Emergency Medicine Past Accepting new patients
Vigilias LLC Pediatrics PastSince Mar 25, 2015 Accepting new patients

Locations

6640 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141

1124 W 21st St
Andover, KS 67002
Phone (316) 300-4000

221 W US Highway 54
Andover, KS 67002
Phone (316) 962-5100

2648 N Rock Rd
Derby, KS 67037
Phone (316) 962-2000

1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376

1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117

1000 Hospital Dr
McPherson, KS 67460
Phone (316) 241-2250

1000 Hospital Dr
#301
McPherson, KS 67460
Phone (620) 241-0917

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

8714 W 13th St N
Wichita, KS 67212
Phone (316) 962-9900

1010 N Kansas St
Ste 3054
Wichita, KS 67214
Phone (316) 293-2647

1010 N Kansas St
Wichita, KS 67214
Phone (316) 293-2622

Interoperability endpoints

  • Direct secure messaging: ccoffey1563386@direct.trinity-health.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/47504f24-8f33-46ef-bd43-36455bc94e0b/

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1689016412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-367-6995",
            "fax_number": "208-367-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706",
            "telephone_number": "208-367-6995",
            "fax_number": "208-367-6953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 E 23rd Ave",
            "address_purpose": "LOCATION",
            "city": "Hutchinson",
            "state": "KS",
            "postal_code": "675029907",
            "country_code": "US",
            "telephone_number": "877-346-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "CHARLES",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-22",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "9408267",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ID",
            "license": "M-14360",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "04-37537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.