Mountain State Breast & General Surgery PLLC
NPI 1720776164 · Surgery Physician · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mountain State Breast & General Surgery PLLC is a Surgery Physician organization in Boise, ID (NPI 1720776164).
Provider details
- NPI number
- 1720776164
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rhiana Menen, Owner(208) 392-3354
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
3 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
- 2023-04-25
- Last updated
- 2024-01-18
- Certified
- 2024-01-18
Frequently asked questions
- What is Mountain State Breast & General Surgery PLLC's NPI number?
- Mountain State Breast & General Surgery PLLC's National Provider Identifier (NPI) is 1720776164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain State Breast & General Surgery PLLC?
- Mountain State Breast & General Surgery PLLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mountain State Breast & General Surgery PLLC located?
- Mountain State Breast & General Surgery PLLC's practice location on file with NPPES is 1525 S Owyhee St, Boise, ID 83705-6014.
- What is Mountain State Breast & General Surgery PLLC's phone number?
- The practice phone number listed in the NPPES registry for Mountain State Breast & General Surgery PLLC is (714) 812-5711.
- Does Mountain State Breast & General Surgery PLLC accept Medicare?
- Mountain State Breast & General Surgery PLLC 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 Mountain State Breast & General Surgery PLLC?
- The authorized official listed on Mountain State Breast & General Surgery PLLC's NPPES record is Rhiana Menen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain State Breast & General Surgery PLLC's NPI active?
- Yes — Mountain State Breast & General Surgery PLLC's NPI (1720776164) is active in the NPPES registry as of the last update on 2024-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.