Individual provider Active NPI

Jamia E. Byrns, MD

  • Hospitalist Physician
  • Boise, ID
National Provider Identifier
1881676070
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
M-10603 Issued in ID
Practice address
13960 W Wainwright Dr
Boise, ID 83713-1969
Phone
(208) 947-5390
Fax
(208) 947-3465
NPI assigned
Nov 15, 2005
Last updated
Nov 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M-10603 ID
Internal Medicine Physician 207R00000X 01071764A IN
Hospitalist Physician 208M00000X M-10603 ID Primary
Hospitalist Physician 208M00000X 01071764A IN

Addresses

Primary practice location

13960 W Wainwright Dr
Boise, ID 83713-1969

Mailing address

2632 SE 5TH Way
Meridian, ID 83642-7411
Phone (845) 596-9473

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
I20090611000305 ID Practitioner - Internal Medicine 8123178225 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-10603IDMDInternal Medicine Physician
01071764AINMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Center for Geriatrics LLC CurrentSince Jan 1, 2022 Accepting new patients
Keystone Hospice, LLC CurrentSince Jan 1, 2022 Accepting new patients
Key Stone Health Care CurrentSince Jan 1, 2022 Accepting new patients
JC Hospitalists PLLC Hospitalist Past Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

305 W Bannock St
Boise, ID 83702
Phone (208) 514-0670

1139 E Winding Creek Dr
Eagle, ID 83616
Phone (208) 938-8887

21 N Fisher Park Way
Eagle, ID 83616
Phone (208) 514-0670

Organizations & group practices 5

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1881676070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 SE 5TH WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427411",
            "telephone_number": "845-596-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13960 W WAINWRIGHT DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131969",
            "telephone_number": "208-947-5390",
            "fax_number": "208-947-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNS",
        "first_name": "JAMIA",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M-10603",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01071764A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ID",
            "license": "M-10603",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01071764A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.