Idaho Cleft and Craniofacial Pediatric Plastic Surgery, P.A.
NPI 1184899973 · Plastic Surgery Physician · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Idaho Cleft and Craniofacial Pediatric Plastic Surgery, P.A. is a Plastic Surgery Physician organization in Boise, ID (NPI 1184899973).
Provider details
- NPI number
- 1184899973
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Russell Griffiths, President(208) 433-1736
- License
- M7454 (ID)
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
18 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)
- Former legal business name
- Russell H Griffiths, Mdpa
Registry dates
- Enumerated
- 2008-04-23
- Last updated
- 2023-05-08
- Certified
- 2023-05-08
Frequently asked questions
- What is Idaho Cleft and Craniofacial Pediatric Plastic Surgery, P.A.'s NPI number?
- Idaho Cleft and Craniofacial Pediatric Plastic Surgery, P.A.'s National Provider Identifier (NPI) is 1184899973, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho Cleft and Craniofacial Pediatric Plastic Surgery, P.A.?
- Idaho Cleft and Craniofacial Pediatric Plastic Surgery, P.A. is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Idaho Cleft and Craniofacial Pediatric Plastic Surgery, P.A. located?
- Idaho Cleft and Craniofacial Pediatric Plastic Surgery, P.A.'s practice location on file with NPPES is 100 E Idaho Street, Suite 303, Boise, ID 83712-6269.
- What is Idaho Cleft and Craniofacial Pediatric Plastic Surgery, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Idaho Cleft and Craniofacial Pediatric Plastic Surgery, P.A. is (208) 433-1736.
- Does Idaho Cleft and Craniofacial Pediatric Plastic Surgery, P.A. accept Medicare?
- Idaho Cleft and Craniofacial Pediatric Plastic Surgery, 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 Idaho Cleft and Craniofacial Pediatric Plastic Surgery, P.A.?
- The authorized official listed on Idaho Cleft and Craniofacial Pediatric Plastic Surgery, P.A.'s NPPES record is Russell Griffiths, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho Cleft and Craniofacial Pediatric Plastic Surgery, P.A.'s NPI active?
- Yes — Idaho Cleft and Craniofacial Pediatric Plastic Surgery, P.A.'s NPI (1184899973) is active in the NPPES registry as of the last update on 2023-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.