Internal Medicine, Endocrinology, Diabetes & Metabolism
THEODORE ROOSEVELT M.D.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1699754697 · enumerated 2006-01-10 · record updated 2018-05-17. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 13909 W WAINWRIGHT DR, BOISE, ID, 83713-1969 (208) 389-2213 Fax (208) 389-4659 Google Maps Apple Maps OpenStreetMap
- Practice location 13909 W WAINWRIGHT DR, BOISE, ID, 83713-1969 (208) 389-2213 Fax (208) 389-4659 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · License M6142 ID
- Internal Medicine, Endocrinology, Diabetes & Metabolism 207RE0101X · Primary · License M6142 ID
In this directory
ID Ada County Boise Internal Medicine, Endocrinology, Diabetes & Metabolism
Locations and evidence
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Practice location
BOISE, ID, 837131969
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.