NPPES file of Aug 9, 2026

Kenneth Justin Grover, PA

Physician Assistant · Boise, ID

Kenneth Justin Grover, PA is a physician assistant with a practice address in Boise, Idaho, and NPI 1689393654, issued on Aug 24, 2022. Check the license with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1689393654
Name
Kenneth Justin Grover
Credential
PA
Primary taxonomy
Physician Assistant 363A00000X
Practice location
620 W Hays St, Boise, ID 83702
Phone
(208) 381-2094
Enumerated
Aug 24, 2022
Record last updated
Sep 7, 2023
Fax
(208) 381-1791
Medicare enrollment
Enrolled (PECOS I20231031003048); accepts Medicare assignment
Medical or professional school
University Of Washington School Of Medicine, 2023
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 620 W Hays St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Rebekah Goforth, DDS, MSOrthodontics and Dentofacial Orthopedics Dentistry1609458983
  2. Carl Odom, MDDiagnostic Radiology Physician1740523513

Verify Kenneth Justin Grover in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Idaho board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Idaho license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through 2 group practices

  1. Boise Radiology Group PLLCFruitland, ID
  2. St Lukes Clinic-Treasure Valley LLCMeridian, ID

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kenneth Justin Grover among 1,250 physician assistant records in Idaho

Kenneth Justin Grover, PA is one of 1,250 physician assistant records with a practice address in Idaho. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 77% of them.

  • NPI issued2022 · 77% of these records are older, 12% newer
  • In a Medicare fileYes · 87% of these records are
  • In the CMS Doctors and Clinicians fileYes · 77% of these records are
  • Graduated2023 · median 2017 among the 961 with a school on file
  • Record last updated2023 · 35% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

362 physician assistant records list a practice address in Boise

They are 362 of the 9,467 NPPES records with a practice address in Boise, and 1,250 physician assistant records in Idaho.

The 8 physician assistant records with the nearest ZIP codes

  1. Nicole Amideo, PA-CBoise, ID 837021700813714
  2. Kathleen Duffy, PA-CBoise, ID 837021154301141
  3. Freddie Friel, PABoise, ID 837021730131178
  4. Kevin Hudson, PA-CBoise, ID 837021922088905
  5. Benjamin Kerns, PABoise, ID 837021659388783
  6. Darrell King, PABoise, ID 837021770573644
  7. James Lang, PA-CBoise, ID 837021215948237
  8. James McColly, M.P.A.S., PA-CBoise, ID 837021851326045

Common questions

What is Kenneth Justin Grover, PA's NPI number?

Kenneth Justin Grover, PA's National Provider Identifier (NPI) is 1689393654, issued on Aug 24, 2022. An NPI identifies a provider in billing; it is not a license.

Where is Kenneth Justin Grover, PA located?

The NPPES record lists a practice address at 620 W Hays St, Boise, ID, 83702. Phone: (208) 381-2094. Providers update this record themselves, so call before visiting.

How can I verify Kenneth Justin Grover, PA's license?

Search the Idaho board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.