Active NPI
Dillon Smith, PA-C
- Medical Physician Assistant
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA-1187
- Practice address
- 1618 S Millenium Way
Meridian, ID 83642-6439 - Phone
- (208) 884-3376
- Fax
- (208) 884-0858
- NPI assigned
- Oct 7, 2014
- Last updated
- May 18, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA-1187 | ID | Primary |
| Medical Physician Assistant | 363AM0700X | PA173732 | OR |
Addresses
Primary practice location
1618 S Millenium Way
Meridian, ID 83642-6439
Mailing address
1618 S Millenium Way
Meridian, ID 83642-6439
Phone (208) 884-3376
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1618 S Millenium Way
Suite 100
Meridian, ID 83642-6457
Phone (208) 884-3376
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 81.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-1187 | ID | MD | Medical Physician Assistant |
| PA173732 | OR | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Current | Accepting new patients | |
| Ada West Dermatology, PC | Dermatology | Current | Accepting new patients |
| Richard Lochhead MD PLLC | Past | Accepting new patients | |
| St Lukes Regional Medical Center | Past | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
2619 W Fairview Ave
Ste 2100
Boise, ID 83702
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
1210 NW 16th St
Fruitland, ID 83619
Phone (208) 452-8600
1618 S Millenium Way
Meridian, ID 83642
Phone (208) 884-3376
1618 S Millenium Way
Ste 100
Meridian, ID 83642
Phone (208) 884-3376
4574 N Ten Mile Rd
Ste 120
Meridian, ID 83646
Phone (208) 884-3376
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.
-
- Dermatology Physician
- Meridian, ID
- NPI 1518973338
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
-
- Neurological Surgery Physician
- Boise, ID
- NPI 1588063168
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1780087502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1618 S MILLENIUM WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426439",
"telephone_number": "208-884-3376",
"fax_number": "208-884-0858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1618 S MILLENIUM WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426439",
"telephone_number": "208-884-3376",
"fax_number": "208-884-0858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DILLON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-07",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "ID",
"license": "PA-1187",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OR",
"license": "PA173732",
"primary": false
}
],
"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 May 18, 2026; 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.