Snake River Pediatrics, PC
NPI 1720489396 · Rural Health Clinic/Center · Fruitland, ID
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Snake River Pediatrics, PC is a Rural Health Clinic/Center organization in Fruitland, ID (NPI 1720489396).
Provider details
- NPI number
- 1720489396
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Matthew Berria, President(208) 740-4518
- License
- PA00913 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- 2014-09-14
- Last updated
- 2023-08-16
- Certified
- 2023-08-16
Frequently asked questions
- What is Snake River Pediatrics, PC's NPI number?
- Snake River Pediatrics, PC's National Provider Identifier (NPI) is 1720489396, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Snake River Pediatrics, PC?
- Snake River Pediatrics, PC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Snake River Pediatrics, PC located?
- Snake River Pediatrics, PC's practice location on file with NPPES is 1100 Nw 12th St, Fruitland, ID 83619-5040.
- What is Snake River Pediatrics, PC's phone number?
- The practice phone number listed in the NPPES registry for Snake River Pediatrics, PC is (208) 452-6556.
- Does Snake River Pediatrics, PC accept Medicare?
- Snake River Pediatrics, PC 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 Snake River Pediatrics, PC?
- The authorized official listed on Snake River Pediatrics, PC's NPPES record is Matthew Berria, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Snake River Pediatrics, PC's NPI active?
- Yes — Snake River Pediatrics, PC's NPI (1720489396) is active in the NPPES registry as of the last update on 2023-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.