Alliance Medical Group, LLC
NPI 1063658300 · Family Medicine Physician · Eagle, ID
Enrolled with Medicare as Dme Supplier - Physician - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alliance Medical Group, LLC is a Family Medicine Physician organization in Eagle, ID (NPI 1063658300).
Provider details
- NPI number
- 1063658300
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Linda Barnes, Credentialing Mgr(208) 985-1423
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Other names (DBA / former)
- Doing business as
- Primary Health Medical Group
- Doing business as
- Primary Health Medical Group
Registry dates
- Enumerated
- 2008-12-16
- Last updated
- 2025-02-17
- Certified
- 2025-02-17
Frequently asked questions
- What is Alliance Medical Group, LLC's NPI number?
- Alliance Medical Group, LLC's National Provider Identifier (NPI) is 1063658300, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Alliance Medical Group, LLC?
- Alliance Medical Group, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Alliance Medical Group, LLC located?
- Alliance Medical Group, LLC's practice location on file with NPPES is 1895 Mcgrath Rd, Eagle, ID 83616-6243.
- What is Alliance Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Alliance Medical Group, LLC is (208) 939-8200.
- Does Alliance Medical Group, LLC accept Medicare?
- Alliance Medical Group, LLC 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 Alliance Medical Group, LLC?
- The authorized official listed on Alliance Medical Group, LLC's NPPES record is Linda Barnes, Credentialing Mgr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Alliance Medical Group, LLC's NPI active?
- Yes — Alliance Medical Group, LLC's NPI (1063658300) is active in the NPPES registry as of the last update on 2025-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.