OrganizationActive
St Michael Nephrology, PLLC
NPI 1144887050 · Nephrology Physician · Boise, ID
Provider details
- NPI number
- 1144887050
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ernest Daniel Dytiapco, Nephrologist(986) 200-8202
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1674 S Loggers Pond Pl Apt 14
Boise, ID 83706-7517
Phone: (986) 200-8202
Fax: (626) 593-4751
Street-level locationGet directions
Mailing address
999 W Main St Ste 100
Boise, ID 83702-9001
Other names (DBA / former)
- Doing business as
- St Mikes Neph
- Doing business as
- St Mikes Neph
Additional practice locations (1)
- 190 E Bannock StBoise, ID 83712Phone: (986) 200-8202
Registry dates
- Enumerated
- 2019-05-26
- Last updated
- 2019-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.