Individual provider Active NPI

John Boyajian, MD

  • Otolaryngology Physician
  • Nampa, ID
National Provider Identifier
1942205604
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
M6896 Issued in ID
Practice address
230 2ND St S
Nampa, ID 83651-3709
Phone
(208) 433-9300
Fax
(208) 433-9854
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy Physician 207YX0602X M6896 ID
Otolaryngology Physician 207Y00000X M6896 ID Primary

Addresses

Primary practice location

230 2ND St S
Nampa, ID 83651-3709

Mailing address

230 2ND St S
Nampa, ID 83651-3709
Phone (208) 433-9300

Other identifiers 1

IdentifierTypeStateIssuer
003581300MedicaidID

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
I20070707000038 ID Practitioner - Otolaryngology 9537067475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Indiana University School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Clinics of Idaho IncGroup PAC ID 3072619683, 3 clinicians

Practice addresses (Care Compare)

230 2ND St S
Nampa, ID 83651-3709
Phone (208) 433-9300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6896IDMDOtolaryngic Allergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Clinics of Idaho Inc CurrentSince Feb 1, 2007 Accepting new patients

Locations

727 E Riverpark Ln
Ste 200
Boise, ID 83706
Phone (208) 433-8846

3085 E Magic View Dr
Ste 140
Meridian, ID 83642
Phone (208) 229-9009

230 2nd St S
Nampa, ID 83651
Phone (208) 433-9300

260 Falls Ave
Ste B
Twin Falls, ID 83301
Phone (208) 539-3155

191 Addison Ave
Twin Falls, ID 83301
Phone (208) 732-0700

191 Addison Ave
Ste B
Twin Falls, ID 83301
Phone (208) 732-0700

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1942205604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 2ND ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513709",
            "telephone_number": "208-433-9300",
            "fax_number": "208-433-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 2ND ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513709",
            "telephone_number": "208-433-9300",
            "fax_number": "208-433-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYAJIAN",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "ID",
            "license": "M6896",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ID",
            "license": "M6896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003581300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.