Individual provider Active NPI

Ryley McPeters, M.D.

  • Interventional Cardiology Physician
  • Nampa, ID
National Provider Identifier
1730543646
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
M-17862 Issued in ID
Practice address
4424 E Flamingo Ave Ste 300
Nampa, ID 83687-9306
Phone
(208) 302-0200
Fax
(208) 302-0255
NPI assigned
Apr 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD221543 OR
Interventional Cardiology Physician 207RI0011X M-17862 ID Primary

Addresses

Primary practice location

4424 E Flamingo Ave Ste 300
Nampa, ID 83687-9306

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 302-9342

Other practice location 1

1542 Tulane Ave
New Orleans, LA 70112-2865
Phone (504) 568-3792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 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
I20240812002100 ID Practitioner - Cardiovascular Disease (Cardiology) 1658670922 Reassigns benefits to 1 organization
I20241113004409 OR Practitioner - Interventional Cardiology 1658670922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Alphonsus Regional Medical Center IncGroup PAC ID 3476462359, shared by 4 NPIs, 672 clinicians

Practice addresses (Care Compare)

1050 SW 3Rd Ave
Suite 1800
Ontario, OR 97914-2193
Phone (208) 302-0000

1050 SW 3Rd Ave
Suite 3200
Ontario, OR 97914-4560
Phone (541) 881-7000

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-17862IDMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Sep 1, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Cardiovascular Disease Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc Cardiovascular Disease CurrentSince Sep 1, 2024 Accepting new patients

Locations

6140 W Curtisian Ave
Ste 200
Boise, ID 83704
Phone (208) 363-9074

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

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

4424 E Flamingo Ave
Ste 300
Nampa, ID 83687
Phone (208) 302-0200

3175 Pocahontas Rd
Baker City, OR 97814
Phone (208) 302-2200

Interoperability endpoints

  • Direct secure messaging: rmcpeters3501454@direct.trinity-health.org

Organizations & group practices 3

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 10

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1730543646",
    "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": "208-302-9342",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4424 E FLAMINGO AVE STE 300",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879306",
            "telephone_number": "208-302-0200",
            "fax_number": "208-302-0255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1542 Tulane Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122865",
            "country_code": "US",
            "telephone_number": "504-568-3792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCPETERS",
        "first_name": "RYLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OR",
            "license": "MD221543",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "ID",
            "license": "M-17862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.