Individual provider Active NPI

Rourke Yeakley, MD

  • Emergency Medicine Physician
  • Caldwell, ID
National Provider Identifier
1790723286
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M8190 Issued in ID
Practice address
512 E Elm St
Caldwell, ID 83605-4871
Phone
(208) 370-7004
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 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 M8190 ID Primary

Addresses

Primary practice location

512 E Elm St
Caldwell, ID 83605-4871

Mailing address

512 E Elm St
Caldwell, ID 83605-4871
Phone (208) 370-7004

Other practice location 1

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2222

Other practice location 2

6051 W Emerald St
Boise, ID 83704-8969
Phone (208) 302-5150

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
I20100715001023 ID Practitioner - Emergency Medicine 4688632342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Tufts University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Alphonsus Regional Medical Center IncGroup PAC ID 3476462359, 672 clinicians
Saint Alphonsus Medical Center- Ontario IncGroup PAC ID 1456488899, 42 clinicians

Practice addresses (Care Compare)

10717 W State St
Star, ID 83669-6046
Phone (208) 302-6300

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

1150 N Sister Catherine Way
Nampa, ID 83687-3133
Phone (208) 302-7000

1510 12TH Ave Rd
Suite 200
Nampa, ID 83686-6008
Phone (208) 302-6899

1512 12TH Ave Rd
Suite 100
Nampa, ID 83686-6008
Phone (208) 467-1171

215 E Hawaii Ave
Nampa, ID 83686-6011

3025 W Cherry LN
Meridian, ID 83642-8531

712 Aviation Way
Caldwell, ID 83605-1154
Phone (208) 302-1035

867 S Vanguard Way
Meridian, ID 83642-7552
Phone (208) 302-7950

910 NW 16TH St
Fruitland, ID 83619-2265

Hospital & facility affiliations

  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007
  • Saint Alphonsus Medical Center Ontario Hospital, Ontario, OR, CCN 380052

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8190IDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Southern Idaho Health Partners LLC CurrentSince Oct 1, 2020 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Dec 1, 2024 Accepting new patients
No8 Health LLC CurrentSince Jul 8, 2024 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Dec 1, 2024 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Dec 1, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Dec 1, 2024 Accepting new patients
Emergency Room Associates Limited Emergency Medicine Past Accepting new patients
Swea, P.C. Emergency Medicine Past Accepting new patients

Locations

6051 W Emerald St
Boise, ID 83704
Phone (208) 302-5100

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

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

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

9850 W St Lukes Dr
Ste 129
Nampa, ID 83687
Phone (208) 205-7600

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

Interoperability endpoints

  • Direct secure messaging: ryeakley3828132@direct.trinity-health.org

Organizations & group practices 9

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 6

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1790723286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E ELM ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054871",
            "telephone_number": "208-370-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E ELM ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054871",
            "telephone_number": "208-370-7004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 E Bannock St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837126241",
            "country_code": "US",
            "telephone_number": "208-381-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6051 W Emerald St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837048969",
            "country_code": "US",
            "telephone_number": "208-302-5150",
            "fax_number": "208-302-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEAKLEY",
        "first_name": "ROURKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "M8190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.