Individual provider Active NPI

Lloyd D Stolworthy, M.D.

  • General Practice Physician
  • Meridian, ID
National Provider Identifier
1831264878
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
M8815 Issued in ID
Practice address
1648 NW 1St Street
Meridian, ID 83642
Phone
(208) 888-9393
Fax
(208) 888-9525
NPI assigned
Nov 22, 2006
Last updated
Feb 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X M8815 ID Primary

Addresses

Primary practice location

1648 NW 1St Street
Meridian, ID 83642

Mailing address

PO Box 191050
Boise, ID 83719-1050
Phone (208) 955-6522

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
I20031210000807 ID Practitioner - Family Practice 6204732233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Medical Group LLCGroup PAC ID 3971544685, 132 clinicians

Practice addresses (Care Compare)

1648 NW 1St St
Meridian, ID 83642-2212
Phone (208) 888-9393

Merit-based Incentive Payment System (MIPS)

Final score
84.87 of 100Reported as group
Quality
77.29
Promoting interoperability
97
Improvement activities
40
Cost
74.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8815IDMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Medical Group, LLC Family Medicine CurrentSince Sep 14, 2015 Accepting new patients
Alliance Medical Group, LLC Family Medicine CurrentSince Sep 14, 2015 Accepting new patients
Catherine L. Linderman MD PLLC Past Accepting new patients
Alliance Medical Group, LLC Family Medicine Past Accepting new patients

Locations

300 W Myrtle St
Ste 100
Boise, ID 83702
Phone (208) 472-9082

7350 W Victory Rd
Boise, ID 83709
Phone (208) 809-2888

4815 Cleveland Blvd
Caldwell, ID 83605
Phone (208) 455-3545

1895 McGrath Rd
Eagle, ID 83616
Phone (208) 939-8200

435 S Eagle Rd
Ste 100
Eagle, ID 83616
Phone (208) 609-9130

10482 W Carlton Bay Dr
Garden City, ID 83714
Phone (208) 454-9690

5601 W Chinden Blvd
Garden City, ID 83714
Phone (208) 809-2865

1130 E Fairview Ave
Meridian, ID 83642
Phone (208) 888-9393

1623 S Wells Ave
Meridian, ID 83642
Phone (208) 489-1450

1648 NW 1st St
Meridian, ID 83642
Phone (208) 888-9393

260 S Ten Mile Rd
Meridian, ID 83642
Phone (208) 809-2872

Interoperability endpoints

  • Direct secure messaging: lloyd.stolworthy@phmg.eclinicaldirectplus.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1831264878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191050",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837191050",
            "telephone_number": "208-955-6522",
            "fax_number": "208-955-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 NW 1ST STREET",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-888-9393",
            "fax_number": "208-888-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLWORTHY",
        "first_name": "LLOYD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ID",
            "license": "M8815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.