Active NPI
Katherine A Mathews, M.D.
- Hospitalist Physician
- Boise, ID
National Provider Identifier
1841296902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- M10237
- Practice address
- 1055 N. Curtis Rd
Boise, ID 83706-1309 - Phone
- (208) 367-7350
- Fax
- (208) 367-3951
- NPI assigned
- Jun 23, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 199456 | NY | |
| Internal Medicine Physician | 207R00000X | M-10237 | ID | |
| Hospitalist Physician | 208M00000X | M10237 | ID | Primary |
Addresses
Primary practice location
1055 N. Curtis Rd
Boise, ID 83706-1309
Mailing address
3340 E. Goldstone Way
Meridian, ID 83642-1026
Phone (208) 367-5170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 808086700 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199456 | NY | MD | Internal Medicine Physician |
| M10237 | ID | MD | Hospitalist Physician |
Interoperability endpoints
- kmathews1564143@direct.trinity-health.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1841296902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 E. GOLDSTONE WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421026",
"telephone_number": "208-367-5170",
"fax_number": "208-367-5180"
},
{
"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": "208-367-7350",
"fax_number": "208-367-3951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "KATHERINE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-23",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "199456",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ID",
"license": "M-10237",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "ID",
"license": "M10237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "808086700",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.