Boise Pathology Group P.A.
NPI 1063466225 · Dermatopathology (Pathology) Physician · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Boise Pathology Group P.A. is a Dermatopathology (Pathology) Physician organization in Boise, ID (NPI 1063466225).
Provider details
- NPI number
- 1063466225
- Entity type
- Organization
- Primary specialty
- Dermatopathology (Pathology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Stillinger, Secretary-Treasurer(208) 381-2367
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cytopathology Physician207ZC0500X
Allopathic & Osteopathic Physicians
- Hematology (Pathology) Physician207ZH0000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-20
- Last updated
- 2025-09-11
Frequently asked questions
- What is Boise Pathology Group P.A.'s NPI number?
- Boise Pathology Group P.A.'s National Provider Identifier (NPI) is 1063466225, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boise Pathology Group P.A.?
- Boise Pathology Group P.A. is classified in the NPPES registry as Dermatopathology (Pathology) Physician (Allopathic & Osteopathic Physicians).
- Where is Boise Pathology Group P.A. located?
- Boise Pathology Group P.A.'s practice location on file with NPPES is 190 E Bannock St, Boise, ID 83712-6241.
- What is Boise Pathology Group P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Boise Pathology Group P.A. is (208) 381-2367.
- Does Boise Pathology Group P.A. accept Medicare?
- Boise Pathology Group P.A. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Boise Pathology Group P.A.?
- The authorized official listed on Boise Pathology Group P.A.'s NPPES record is Richard Stillinger, Secretary-Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boise Pathology Group P.A.'s NPI active?
- Yes — Boise Pathology Group P.A.'s NPI (1063466225) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.