Individual provider Active NPI

David P Hightower, M.D.

  • Emergency Medicine Physician
  • Boise, ID
National Provider Identifier
1720089527
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M-9719 Issued in ID
Practice address
190 E Bannock St
Boise, ID 83712-6241
Phone
(208) 381-8748
Fax
(208) 381-8786
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M-9719 ID Primary

Addresses

Primary practice location

190 E Bannock St
Boise, ID 83712-6241

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170

Other identifiers 7

IdentifierTypeStateIssuer
P00191070OtherRR MEDICARE GROUP DC6712
930051046OtherRR MEDICARE GROUP CG8899
206039802MedicaidMO
01674018OtherKSBCBS KC MO GROUP 01674018
100270040AMedicaidKS
100270040CMedicaidKS
23279063OtherKSBCBS OF KC MO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070928000179 ID Practitioner - Undersea and Hyperbaric MedicinePractitioner - Emergency Medicine 5294791737 Reassigns benefits to 3 organizations
Practice locations: Caldwell, ID

Care Compare profile

Medicare Care Compare
Specialty
Undersea and Hyperbaric MedicineAlso: Emergency Medicine
Education
Texas Tech University Health Science Center School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11035 Karcher Rd
Nampa, ID 83651-8200
Phone (208) 302-2100

3025 W Cherry LN
Meridian, ID 83642-8531

Hospital & facility affiliations

  • Terrace Hospice Hospice, Meridian, ID, CCN 131587

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Aug 1, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Aug 1, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Aug 1, 2024 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Aug 1, 2024 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Emergency Medicine CurrentSince Mar 1, 2012 Accepting new patients
High Desert Wound Care and Hyperbarics PLLC CurrentSince Jul 7, 2024 Accepting new patients
Southern Idaho Health Partners LLC CurrentSince Oct 1, 2022 Accepting new patients
ER Physicians South PA Emergency Medicine Past Accepting new patients
Em Specialists PA Emergency Medicine PastSince Mar 20, 2025 Accepting new patients
Saint Luke'S South Hospital Inc. Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

600 N Robbins Rd
Boise, ID 83702
Phone (208) 489-4444

1717 Arlington Ave
Caldwell, ID 83605
Phone (208) 455-3719

1906 Fairview Ave
Ste 130
Caldwell, ID 83605
Phone (208) 402-0631

910 NW 16th St
Ste 101
Fruitland, ID 83619
Phone (208) 452-8000

3277 E Louise Dr
Ste 410
Meridian, ID 83642
Phone (208) 489-5800

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

520 S Eagle Rd
Meridian, ID 83642
Phone (208) 706-5000

215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234

Interoperability endpoints

  • Direct secure messaging: dhightower3473140@direct.trinity-health.org
  • Direct secure messaging: dhightower19362@direct.slhs.org

Organizations & group practices 11

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.

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1720089527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-8748",
            "fax_number": "208-381-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHTOWER",
        "first_name": "DAVID",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "M-9719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP DC6712",
            "identifier": "P00191070",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP CG8899",
            "identifier": "930051046",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206039802",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC MO GROUP 01674018",
            "identifier": "01674018",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100270040A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100270040C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC MO",
            "identifier": "23279063",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.