NEIL H LIOTTA (MD) – Family Medicine Physician, NPI 1285217489

NEIL H LIOTTA (MD) is a healthcare provider. based in Boise, Idaho. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MRM-2035 (ID). The NPI Number for NEIL H LIOTTA (MD) is 1285217489

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
NEIL H LIOTTA (MD)
NPI
1285217489
Phone
(208) 514-2500
Address
777 N Raymond St
Enumeration Date
4 May 2021
Last Update Date
14 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5099358211
Graduation Year
2021 (5 years ago)
PAC ID
8527460567
Group Practice PAC ID
9739249350
Professional Enrollment ID
I20241120004479
Address ID
WA991099523CH500XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

971 FAMILY PRACTICE in ID

Provider Addresses for NEIL H LIOTTA (MD)

  • 777 N Raymond St

    Boise, ID 837049251

    Phone: (208) 514-2500

    Fax: (208) 375-2217

    Type: Location

  • 611 N IRON BRIDGE WAY

    SPOKANE, WA 992024932

    Phone: (509) 444-8888

    Type: Location

  • 777 N RAYMOND ST

    BOISE, ID 837049251

    Phone: (208) 514-2500

    Fax: (208) 375-2217

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241120004479IFamily PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83704)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739249350View full group profile
NameSpecialtyState
Family PracticeID
Family PracticeWA
Family PracticeWA
-WA
Family PracticeWA
Family Practice, Emergency MedicineWA
Family PracticeWA
Family PracticeWA
Internal Medicine, Pediatric MedicineWA
Family PracticeWA

Reviews

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Frequently asked questions

Where can patients find NEIL H LIOTTA (MD)'s NPI?
You can confirm NEIL H LIOTTA (MD) with NPI 1285217489; it appears in the national provider directory.
Is NEIL H LIOTTA (MD) currently active in the NPI registry?
CMS-published data lists NEIL H LIOTTA (MD) as an active registrant.
What field does NEIL H LIOTTA (MD) work in?
You can think of NEIL H LIOTTA (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does NEIL H LIOTTA (MD) practice in Idaho?
You will see Boise, Idaho on file for NEIL H LIOTTA (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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