Individual provider Active NPI

Ashley Michelle Burt, MD

  • Diagnostic Radiology Physician
  • Boise, ID
National Provider Identifier
1740623966
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M-14653 Issued in ID
Practice address
1055 N Curtis Rd
Boise, ID 83706-1309
Phone
(208) 954-8070
Fax
(208) 954-8073
NPI assigned
Apr 8, 2013
Last updated
Feb 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X M-14653 ID Primary

Addresses

Primary practice location

1055 N Curtis Rd
Boise, ID 83706-1309

Mailing address

877 W Main St Ste 603
Boise, ID 83702-6070
Phone (208) 954-8070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ID, OR3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180719002031 CA Practitioner - Diagnostic Radiology 3971850124 Reassigns benefits to 1 organization
I20190911001101 ID Practitioner - Diagnostic Radiology 3971850124 Reassigns benefits to 2 organizations
I20190911001280 OR Practitioner - Diagnostic Radiology 3971850124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Washington School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gem State Radiology LLPGroup PAC ID 9335044833, 60 clinicians

Practice addresses (Care Compare)

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2161

2929 E Magic View Dr
Meridian, ID 83642-3560
Phone (208) 954-8127

323 E Riverside Dr
Suite 108
Eagle, ID 83616-6865
Phone (208) 954-8123

3325 Pocahontas Rd
Baker City, OR 97814-1464
Phone (541) 523-8137

351 SW 9TH St
Ontario, OR 97914-2639
Phone (541) 881-7120

4400 E Flamingo Ave
Nampa, ID 83687-9203
Phone (208) 288-4620

6200 W Emerald St
Boise, ID 83704-8730
Phone (208) 367-3336

875 S Vanguard Way
Suite 100
Meridian, ID 83642-8541
Phone (208) 954-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
100
Improvement activities
40
Cost
52.72

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gem State Radiology LLP Diagnostic Radiology CurrentSince Aug 5, 2019 Accepting new patients
Regents of the University of California Ucsd Department of Radiology Diagnostic Radiology CurrentSince May 27, 2018 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince May 27, 2018 Accepting new patients
Intermountain Medical Imaging LLC Diagnostic Radiology Current Accepting new patients

Locations

10666 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-2626

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

8929 University Center Ln
Ste 101
San Diego, CA 92122
Phone (858) 457-4227

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

6200 W Emerald St
Boise, ID 83704
Phone (208) 367-3336

877 W Main St
Ste 603
Boise, ID 83702
Phone (208) 367-2161

927 W Myrtle St
Boise, ID 83702
Phone (208) 367-7510

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

323 E Riverside Dr
Ste 108
Eagle, ID 83616
Phone (208) 367-5700

2929 E Magic View Dr
Meridian, ID 83642
Phone (208) 367-8222

4300 E Flamingo Ave
Nampa, ID 83687
Phone (208) 205-1000

4424 E Flamingo Ave
#230
Nampa, ID 83687

3325 Pocahontas Rd
Baker City, OR 97814
Phone (541) 523-1797

351 SW 9th St
Ontario, OR 97914
Phone (541) 881-7000

Interoperability endpoints

  • Direct secure messaging: aburt1563226@direct.trinity-health.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1740623966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 W MAIN ST STE 603",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026070",
            "telephone_number": "208-954-8070"
        },
        {
            "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": "837061309",
            "telephone_number": "208-954-8070",
            "fax_number": "208-954-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "ASHLEY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-08",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-14653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.