NPI age
14 years
Enumerated 2011-06-28
● Active
Type 1 · Individual
DR. Caleb James Mentzer, DO
Mentzer is 1 of 8 surgery providers in Boise and 1 of 11 in Idaho.
Primary specialty
Surgery
Plus 5 subspecialties
Licensed in
ID, SC, TX, GA
4 states
Status
Active
No deactivations on record
Last NPPES update
2024-05-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 11 active surgery providers in Idaho.
NPI age
14 years
↓ 4 yr below median (18 yr)
State licenses
4 states
Top 0% — 100% of peers are multi-state
Subspecialties
2
In the 100% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-06Enumerated in NPPES
2011
2026
Where they practice
Practice location
1055 N Curtis Rd
Boise, ID 837061309
Mailing address
Po Box 190930
Boise, ID 837190930
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
853 N Church St Ste 500
Spartanburg, SC 293033077
Location 3
630 S Fleishel Ave
Tyler, TX 757012041
Location 4
200 Herlong Ave S Ste G
Rock Hill, SC 297321182
Specialties
-
Surgery PrimaryA surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ...
-
SurgeryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
-
SurgeryTrauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | 520976 | |
| 01 (SC) | SCE1287628 | MEDICARE PIN |
| 01 (SC) | SCE1283365 | MEDICARE PIN |
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 378 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.