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NPI 1760774483
● Active Type 2 · Organization
Matthew R Sericati, M.D. Chartered
Internal Medicine · Boise, ID · NPI 1760774483
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Enumerated 2011 · 15 years on NPI
Matthew R Sericati, M.D. Chartered is 1 of 111 internal medicine organizations in Idaho.
NPI age
15 years
Enumerated 2011-05-13
Primary specialty
Internal Medicine
Practice locations
4
3 secondary on file
Status
Active
No deactivations on record
Authorized official
Sericati
President
Last NPPES update
2019-07-19
Source: monthly bulk 2026-05
How this organization compares
Across 111 active internal medicine providers in Idaho.
NPI age
15 years
↓ 4 yr below median
Practice locations
4
3 secondary on file
NPI lifetime · 2011 → 2026
2011-05 Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
425 W Bannock St
Boise, ID 837026035
📞 2083431702 fax 2083427042
Mailing address
425 W Bannock St
Boise, ID 837026035
📞 2083431702 fax 2083427042
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
9850 St Lukes Dr
Nampa, ID 836877912
📞 2083436458 fax 2083427042
Location 3
2235 E Gala St
Meridian, ID 836428026
📞 2088773724 fax 2088771682
Location 4
1200 Garrity Blvd
Nampa, ID 836873402
📞 2083431702
Authorized official
Matthew R Sericati, MD
President
📞 2083431702
Individual providers at this organization
18 individual providers on file at this primary practice address.
Noel Anderson , PA-C
Physician Assistant
NPI 1881050540
Paul Baehr , M.D.
Internal Medicine
NPI 1184619165
Kirk Bigley , PA
Physician Assistant
NPI 1265887772
Jeremy Gardner , APRN-CNP
Nurse Practitioner
NPI 1902539976
Christopher Hammerle , MD
Internal Medicine
NPI 1740336361
Regina Hanson , NP
Nurse Practitioner
NPI 1447582580
Laura Hartwig , FNP-C
Nurse Practitioner
NPI 1023322856
Ellen Hunter , M.D.
Internal Medicine
NPI 1174518740
Philip Jensen , M.D.
Internal Medicine
NPI 1134114713
Robert Lockwood , M.D.
Internal Medicine
NPI 1588954101
Leah Muldoon , NP
Nurse Practitioner
NPI 1275145047
Christine Paynter , PA C
Physician Assistant
NPI 1487697827
Crystal Rose , FNP-C
Nurse Practitioner
NPI 1023821196
Matthew Sericati , MD
Internal Medicine
NPI 1194871871
Barry Shinsel
Nurse Practitioner
NPI 1144930801
Cory Shuler , N.P.
Nurse Practitioner
NPI 1295177541
Richard Uhlmann , M.D.
Internal Medicine
NPI 1083609663
David Wood , M.D.
Internal Medicine
NPI 1659367993
Specialties
Internal Medicine
Primary
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and...
ID license #M10669 taxonomy 207RG0100X
Identifiers
Type Value Notes
01
1194871871
INDIVIDUAL NPI
Practice context
Multi-provider organization.
18 individual providers on file at this primary address.
Plus 3 secondary practice locations.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.