Adam Stephen Grimaldi, M.D.
Individual provider Active NPI Clinical Cardiac Electrophysiology Physician · Boise, ID
NPI 1730422296 · NPPES record last updated Jan 6, 2023
Key facts
- NPI
- 1730422296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Cardiac Electrophysiology Physician 207RC0001X
- License
- M-15460 (ID)
- Practice address
- 6140 W Curtisian Ave Ste 100
Boise, ID 83704-0109 - Phone
- (208) 302-0000
- Fax
- (208) 302-0055
- NPI assigned
- Apr 3, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Connecticut School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Saint Alphonsus Regional Medical Center Inc
Practice addresses (Care Compare)
1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121
3025 W Cherry LN
Meridian, ID 83642-8531
3175 Pocahontas Rd
Baker City, OR 97814-1434
Phone (208) 302-2200
3325 Pocahontas Rd
Baker City, OR 97814-1464
Phone (541) 523-6461
351 SW 9TH St
Ontario, OR 97914-2639
Phone (541) 881-7000
4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000
4424 E Flamingo Ave
Nampa, ID 83687-9306
6140 W Curtisian Ave
Boise, ID 83704-0107
Phone (208) 302-0000
6140 W Curtisian Ave
Boise, ID 83704-0109
Hospital & facility affiliations
- Saint Alphonsus Regional Medical Center
- Saint Alphonsus Medical Center - Nampa
- St Luke'S Regional Medical Center
- St. Alphonsus Medical Center - Baker City
- Saint Alphonsus Medical Center Ontario
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 90 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ID, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210604002554 | ID | Practitioner - Cardiac Electrophysiology |
4284933979 | Reassigns benefits to 1 organization |
| I20230109000446 | OR | Practitioner - Cardiovascular Disease (Cardiology) | 4284933979 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2222 | MD | MD | Internal Medicine Physician |
| M-15460 | ID | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | Internal Medicine | Current |
Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Cardiovascular Disease | Current | Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Current |
Accepting new patients |
Locations
6140 W Curtisian Ave
Ste 100
Boise, ID 83704
Phone (208) 367-4224
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342
3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
3175 Pocahontas Rd
Baker City, OR 97814
Phone (208) 302-2200
Interoperability endpoints
- agrimaldi1564448@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2222 | MD | |
| Cardiovascular Disease Physician | 207RC0000X | M-15460 | ID | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | M-15460 | ID | Yes |
Addresses
Primary practice location
6140 W Curtisian Ave Ste 100
Boise, ID 83704-0109
Mailing address
3340 E Goldstone Dr
Meridian, ID 83642-1026
Phone (208) 302-9342
Other practice location 1
600 N Wolfe St
Baltimore, MD 21287-0005
Phone (410) 955-7911
Other providers in Boise, ID
- Danette Marie Grigg
- Lyshell Grigg
- Rebekah Grigg
- Hilliard F Griggs
- Jeffrey J. Griggs
- Abel Grimaldo
- Esther Grimes
- Robin Elizabeth Grimes
- Nathan Lewis Grimm
- Sarah Grinnell
All providers in Boise, ID · Clinical Cardiac Electrophysiology Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.