Individual provider Active NPI

Floyd Ames Smith Jr., MD

  • Surgery Physician
  • Boise, ID
National Provider Identifier
1871521294
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M16438 Issued in ID
Practice address
8950 W Emerald St
Boise, ID 83704-4854
Phone
(208) 400-5131
Fax
(208) 277-3448
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G8424 TX
Surgery Physician 208600000X M16438 ID Primary
Surgery Physician 208600000X MD60252644 WA

Addresses

Primary practice location

8950 W Emerald St
Boise, ID 83704-4854

Mailing address

8950 W Emerald St Ste 150
Boise, ID 83704-8296
Phone (208) 400-5131

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
I20240723002936 ID Practitioner - General Surgery 2062599368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical Branch at Galveston, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8950 W Emerald St
Suite 150
Boise, ID 83704-8296
Phone (208) 400-5131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M16438IDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charamesmd PLLC Surgery CurrentSince May 21, 2024 Accepting new patients

Locations

8950 W Emerald St
Boise, ID 83704
Phone (208) 376-7083

8950 W Emerald St
Ste 150
Boise, ID 83704
Phone (208) 376-7313

8152 N Wayne Dr
Hayden, ID 83835
Phone (208) 444-9820

6600 W Commercial Park Ave
Rathdrum, ID 83858
Phone (208) 712-3634

414 Church St
Ste 118
Sandpoint, ID 83864

217 Cedar St
Sandpoint, ID 83864

3009 S Grand Blvd
Spokane, WA 99203
Phone (208) 966-4176

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1871521294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 W EMERALD ST STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048296",
            "telephone_number": "208-400-5131",
            "fax_number": "800-994-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044854",
            "telephone_number": "208-400-5131",
            "fax_number": "208-277-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "FLOYD",
        "middle_name": "AMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "G8424",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ID",
            "license": "M16438",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60252644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.