Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ammon Roberts, DO

Individual provider Family Medicine Physician · NPI 1225693666

Ammon Roberts, DO is a Family Practice in Boise, Idaho. Qualified in 2019, 7 years ago. Practices with Alliance Medical Group LLC, a 130-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
7
Licensed in
ID
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

777 N Raymond St
Boise, ID 83704-9251
Phone: (208) 514-2500
Fax: (208) 375-2217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 315 E Elm St Ste 100, Caldwell, ID 83605-4858 — (208) 459-7415

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MRO-1840 (ID)

Record details

NPI number1225693666
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 1, 2019
Last updated in NPPESMay 1, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Alliance Medical Group Llc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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