NPIMap

Individual provider Active NPI

Ian C Davey, M.D.

  • Diagnostic Radiology Physician
  • Boise, ID
National Provider Identifier
1811944341
Registry record updated Sep 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M7858 Issued in ID
Practice address
1055 N Curtis Rd
Boise, ID 83706-1309
Phone
(208) 367-2161
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2011

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 M7858 ID Primary

Addresses

Primary practice location

1055 N Curtis Rd
Boise, ID 83706-1309

Mailing address

PO Box 9649
Boise, ID 83707-4649
Phone (208) 472-8100

Other identifiers 1

IdentifierTypeStateIssuer
805480100MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050809000961 ID Practitioner - Diagnostic Radiology 7012946130 Reassigns benefits to 2 organizations
I20110909002404 OR Practitioner - Diagnostic Radiology 7012946130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gem State Radiology LLPGroup PAC ID 9335044833, 60 clinicians
Intermountain Medical Imaging LLCGroup PAC ID 7517870918, 35 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

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

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

Hospital & facility affiliations

  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007
  • Saint Alphonsus Medical Center - Nampa Hospital, Nampa, ID, CCN 130013
  • Saint Alphonsus Medical Center Ontario Hospital, Ontario, OR, CCN 380052
  • St. Alphonsus Medical Center - Baker City Hospital, Baker City, OR, CCN 381315
  • Valor Health Hospital, Emmett, ID, CCN 131318

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

State licenses

LicenseStateTypeSpecialty
M7858IDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gem State Radiology LLP Diagnostic Radiology CurrentSince Aug 1, 1999 Accepting new patients
Intermountain Medical Imaging LLC Diagnostic Radiology Current Accepting new patients
Gooding County Hospital District Past Accepting new patients

Locations

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

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

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

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

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

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

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

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

4424 E Flamingo Ave
#230
Nampa, ID 83687

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

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: idavey1564244@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 11

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316822400000",
    "number": "1811944341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9649",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837074649",
            "telephone_number": "208-472-8100",
            "fax_number": "208-472-8172"
        },
        {
            "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": "208-367-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVEY",
        "first_name": "IAN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2011-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M7858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805480100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.