NPIMap

Individual provider Active NPI

Thomas J Pintar, MD

  • Nephrology Physician
  • Boise, ID
National Provider Identifier
1952343352
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M116677 Issued in ID
Practice address
5610 W Gage St
Suite a
Boise, ID 83706-1349
Phone
(208) 501-8955
Fax
(208) 367-3332
NPI assigned
Jun 11, 2006
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 01052446 IN
Nephrology Physician 207RN0300X M116677 ID Primary

Addresses

Primary practice location

5610 W Gage St
Suite a
Boise, ID 83706-1349

Mailing address

45640 Schoenherr Rd
Ste B
Shelby Township, MI 48315-6033
Phone (586) 247-4300

Other practice location 1

500 W Fort St
Boise, ID 83702-4501
Phone (208) 422-1000

Other identifiers 2

IdentifierTypeStateIssuer
200268380MedicaidIN
2173133MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120622000250 ID Practitioner - NephrologyPractitioner - Internal Medicine 0143200998 Reassigns benefits to 1 organization
I20120725000975 OR Practitioner - NephrologyPractitioner - Internal Medicine 0143200998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Wisconsin School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clair Specialty Physicians PCGroup PAC ID 6204733256, 36 clinicians

Practice addresses (Care Compare)

3325 Pocahontas Rd
Baker City, OR 97814-1464
Phone (208) 501-8955

5610 W Gage St
Suite a
Boise, ID 83706-1332
Phone (208) 367-3370

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.27 of 100Reported as individual
Quality
51.73
Promoting interoperability
91
Improvement activities
40
Cost
75.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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
M116677IDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Specialty Physicians PC Nephrology CurrentSince Jul 1, 2012 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Colorado Springs Nephrology Nephrology Past Accepting new patients
Fauster Cameron Inc. Past Accepting new patients
Indiana Medical Associates, LLC Past Accepting new patients
Detroit Kidney Care, P.C. Nephrology Past Accepting new patients

Locations

5610 W Gage St
Ste A
Boise, ID 83706
Phone (208) 367-3370

1818 S 10th Ave
Ste 120
Caldwell, ID 83605
Phone (208) 468-5959

1210 NW 16th St
Fruitland, ID 83619
Phone (208) 452-8600

840 N 4th E
Mountain Home, ID 83647
Phone (208) 587-1850

18001 E 10 Mile Rd
Roseville, MI 48066

45640 Schoenherr Rd
Utica, MI 48315
Phone (586) 247-4300

45640 Schoenherr Rd
Ste B
Utica, MI 48315
Phone (586) 247-4300

3175 Pocahontas Rd
Baker City, OR 97814
Phone (208) 302-2200

3325 Pocahontas Rd
Baker City, OR 97814
Phone (541) 523-1797

515 East Ln S
Ontario, OR 97914
Phone (208) 501-8955

Interoperability endpoints

  • Direct secure messaging: thomaspintar@stclairspe.allscriptsdirect.net

Organizations & group practices 6

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1952343352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45640 SCHOENHERR RD",
            "address_2": "STE B",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156033",
            "telephone_number": "586-247-4300",
            "fax_number": "586-532-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 W GAGE ST",
            "address_2": "SUITE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061349",
            "telephone_number": "208-501-8955",
            "fax_number": "208-367-3332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Fort St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837024501",
            "country_code": "US",
            "telephone_number": "208-422-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINTAR",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01052446",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "ID",
            "license": "M116677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200268380",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2173133",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.