Active NPI
Aaron Blain Moorhouse, DO
- Family Medicine Physician
- Meridian, ID
National Provider Identifier
1700517760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3171165
- Practice address
- 4740 N Penngrove Way Ste 100
Meridian, ID 83646-7446 - Phone
- (208) 938-3663
- NPI assigned
- Jun 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3171165 | ID | Primary |
Addresses
Primary practice location
4740 N Penngrove Way Ste 100
Meridian, ID 83646-7446
Mailing address
4740 N Penngrove Way Ste 100
Meridian, ID 83646-7446
Other practice location 1
413 S Loop Rd
Edgewood, KY 41017-5446
Phone (859) 301-3800
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4740 N Penngrove Way
Suite 100
Meridian, ID 83646-7446
Phone (208) 938-3663
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Family Medicine PLLC | Family Medicine | Current | Accepting new patients |
Locations
4740 N Penngrove Way
Ste 100
Meridian, ID 83646
Phone (208) 938-3663
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FBBGCA
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Meridian, ID
- NPI 1952335929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1700517760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4740 N PENNGROVE WAY STE 100",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836467446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 N PENNGROVE WAY STE 100",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836467446",
"telephone_number": "208-938-3663"
}
],
"practiceLocations": [
{
"address_1": "413 S Loop Rd",
"address_purpose": "LOCATION",
"city": "Edgewood",
"state": "KY",
"postal_code": "410175446",
"country_code": "US",
"telephone_number": "859-301-3800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORHOUSE",
"first_name": "AARON",
"middle_name": "BLAIN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-21",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "3171165",
"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 Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.