Momentum Medical Group of Idaho LLC
NPI 1417737594 · Family Medicine Physician · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Momentum Medical Group of Idaho LLC is a Family Medicine Physician organization in Boise, ID (NPI 1417737594).
Provider details
- NPI number
- 1417737594
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Heather Beard, Billing Service(208) 880-0883
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
2 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
- 2023-10-04
- Last updated
- 2024-01-10
- Certified
- 2024-01-10
Frequently asked questions
- What is Momentum Medical Group of Idaho LLC's NPI number?
- Momentum Medical Group of Idaho LLC's National Provider Identifier (NPI) is 1417737594, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Momentum Medical Group of Idaho LLC?
- Momentum Medical Group of Idaho LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Momentum Medical Group of Idaho LLC located?
- Momentum Medical Group of Idaho LLC's practice location on file with NPPES is 8854 W Emerald St Ste 275, Boise, ID 83704-4860.
- What is Momentum Medical Group of Idaho LLC's phone number?
- The practice phone number listed in the NPPES registry for Momentum Medical Group of Idaho LLC is (208) 375-3201.
- Does Momentum Medical Group of Idaho LLC accept Medicare?
- Momentum Medical Group of Idaho 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 Momentum Medical Group of Idaho LLC?
- The authorized official listed on Momentum Medical Group of Idaho LLC's NPPES record is Heather Beard, Billing Service. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Momentum Medical Group of Idaho LLC's NPI active?
- Yes — Momentum Medical Group of Idaho LLC's NPI (1417737594) is active in the NPPES registry as of the last update on 2024-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.