P Praxis·MD
● Active Type 1 · Individual

DR. Sumiko Joan Hegstad, MD

Plastic Surgery·Boise, ID· NPI 1306870761 · Enumerated 2006 · 19 years on NPI
Hegstad is 1 of 9 plastic surgery providers in Boise and 1 of 24 in Idaho.
NPI age
19 years
Enumerated 2006-07-10
Primary specialty
Plastic Surgery
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-06-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 24 active plastic surgery providers in Idaho.

NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
222 N 2nd St Ste 102
Boise, ID 837026129
📞 2083441281fax 2083441696
Mailing address
222 N 2nd St Ste 102
Boise, ID 837026129
📞 2083441281fax 2083441696

Specialties

  • Plastic Surgery Primary
    A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external...
    ID license #M6778 taxonomy 208200000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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