NPIMap

Individual provider Active NPI

Margaret-Mary Pluskal, MD

  • Family Medicine Physician
  • Boise, ID
National Provider Identifier
1902286438
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MRM-1479 Issued in ID
Practice address
777 N Raymond St
Boise, ID 83704-9251
Phone
(208) 514-2500
Fax
(208) 375-2217
NPI assigned
May 29, 2015
Last updated
Sep 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MRM-1479 ID Primary

Addresses

Primary practice location

777 N Raymond St
Boise, ID 83704-9251

Mailing address

777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500

Other names 1

  • Margaret-Mary Morelli Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181005002026 ID Practitioner - Family Practice 0840506903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Geisel School of Medicine at Dartmouth, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Hospital IncGroup PAC ID 5092773168, 22 clinicians

Practice addresses (Care Compare)

701 Lewiston St
Cottonwood, ID 83522-9750
Phone (208) 962-3251

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MRM-1479IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teton Valley Health Care Inc Family Medicine Current Accepting new patients
Teton Valley Health Care, Inc CurrentSince Nov 1, 2018 Accepting new patients
St. Mary's Hospital Inc Family Medicine Current Accepting new patients
Teton Valley Health Care Inc Family Medicine CurrentSince Nov 1, 2018 Accepting new patients
St. Mary's Hospital Inc Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
St. Mary's Hospital Inc Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
St. Mary's Hospital Inc Current Accepting new patients

Locations

701 Lewiston St
Cottonwood, ID 83522
Phone (208) 962-3251

120 E Howard St
Driggs, ID 83422
Phone (208) 354-2302

501 Oak St
Nezperce, ID 83543
Phone (208) 937-2496

Interoperability endpoints

  • Direct secure messaging: margaret-marypluskal@smhcvh.medalliesdirect.net
  • Direct secure messaging: margaretpluskal@smhcvhc.medalliesdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 9

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": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1902286438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N RAYMOND ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049251",
            "telephone_number": "208-514-2500",
            "fax_number": "208-375-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N RAYMOND ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049251",
            "telephone_number": "208-514-2500",
            "fax_number": "208-375-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUSKAL",
        "first_name": "MARGARET-MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MRM-1479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET-MARY",
            "last_name": "MORELLI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.