Samuel Douglass, DO
Diagnostic Radiology Physician · Boise, ID
Samuel Douglass, DO is a diagnostic radiology physician with a practice address in Boise, Idaho, and NPI 1063801678, issued on Jan 20, 2015. Check the license (Idaho OC-0433, as entered in NPPES) on the Idaho Board of Medicine; the Medicare figures below come from public CMS files.
- Name
- Samuel Douglass
- Credential
- DO
- Primary taxonomy
- Diagnostic Radiology Physician 2085R0202X
- License numbers
- OC-0433 ID
1539 NE
DO219310 OR
OP61322937 WA
Self-reported in NPPES; status is on the state search - Practice location
- 1055 N Curtis RD, Boise, ID 83706
- Phone
- (208) 367-2121
- Enumerated
- Jan 20, 2015
- Record last updated
- Apr 18, 2025
- Fax
- (706) 596-6720
- Medicare enrollment
- Enrolled (PECOS I20250506002959); accepts Medicare assignment
- Medical or professional school
- Rocky Vista University College Of Osteopathic Med, 2015
- Entity
- Type 1 · individual
8 nearest diagnostic radiology physician records → All 212 in Idaho → Look up another NPI →
Also registered at 1055 N Curtis RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Micheal Adondakis, MDDiagnostic Radiology Physician1003306754
- Luis Alcaraz, PA-CPhysician Assistant1508593765
- Faith AlexanderRegistered Nurse1528937430
- Brian Allen, CRNACertified Registered Nurse Anesthetist1982855482
- Philip Anderson, DOInternal Medicine Physician1154997104
- Clara Riji Anil, MDInternal Medicine Physician1043578818
Verify Samuel Douglass in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIdaho Board of Medicine
Search for license OC-0433Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 3 group practices
- Gem State Radiology LLPCaldwell, ID
- Intermountain Medical Imaging LLCMeridian, ID
- University OF Utah Adult ServicesSalt Lake City, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Samuel Douglass among 212 diagnostic radiology physician records in Idaho
Samuel Douglass, DO is one of 212 diagnostic radiology physician records with a practice address in Idaho. 70% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 90% of them.
- NPI issued2015 · 90% of these records are older, 8% newer
- In a Medicare fileYes · 70% of these records are
- In the CMS Doctors and Clinicians fileYes · 67% of these records are
- Graduated2015 · median 2004 among the 141 with a school on file
- Record last updated2025 · 66% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0202X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Diagnostic Radiology Physician providers in Idaho
There are 212 diagnostic radiology physician records in Idaho.
All 212 in Idaho → Every provider in Boise → Diagnostic Radiology Physician nationwide →
The 8 diagnostic radiology physician records with the nearest ZIP codes
- Janet Cegnar, MDBoise, ID 837061306895016
- Carolyn Coffman, M.D.Boise, ID 837061285681718
- Curtis Coulam, M.D.Boise, ID 837061902853435
- Ian Davey, M.D.Boise, ID 837061811944341
- Vicken Garabedian, M.D.Boise, ID 837061265489702
- David Giles, M.D.Boise, ID 837061295787935
- Jeffrey Hall, M.D.Boise, ID 837061831146034
- Matthew Pond, M.D.Boise, ID 837061184682551
Common questions
What is Samuel Douglass, DO's NPI number?
Samuel Douglass, DO's National Provider Identifier (NPI) is 1063801678, issued on Jan 20, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Samuel Douglass, DO located?
The NPPES record lists a practice address at 1055 N Curtis RD, Boise, ID, 83706. Phone: (208) 367-2121. Providers update this record themselves, so call before visiting.
How can I verify Samuel Douglass, DO's license?
NPPES lists Idaho license number OC-0433, as entered by the provider. Search the Idaho Board of Medicine at https://dopl.idaho.gov/bom/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
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.