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KENNETH M LITTLE MD NPI 1023039468


NPI Information

NPI: 1023039468
Provider Name: KENNETH M LITTLE, MD
Classification: Neurological Surgery - 207T00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
190 E BANNOCK ST
10TH FLOOR
BOISE, ID
ZIP 83712
Phone: (208) 381-5500
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Kenneth M Little, MD is a neurological surgery in Boise, ID with 26 years of experience. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. Kenneth M Little, MD NPI is 1023039468. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

190 E BANNOCK ST
10TH FLOOR
BOISE, ID
ZIP 83712-241
Phone: (208) 381-5500
Fax: (208) 381-2555

The NPI 1023039468 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of device into intervertebral disc space of spine and fusion of vertebrae (HCPCS:22853)
  • Partial removal of middle spine bone with release of spinal cord and/or nerves (HCPCS:63047)
  • Partial removal of spine bone with release of spinal cord and/or nerves (HCPCS:63048)
  • Fusion of spine bones, posterior or posterolateral approach (HCPCS:22614)
  • Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments (HCPCS:22842)

The enumeration date for this NPI number is 7/21/2006 and was last updated on 12/29/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207T00000XNeurological SurgeryM8861IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1269560OTHEROREGONOMAP
2610978600OTHERUS DEPARTMENT OF LABOR
374906OTHERIDAHOBLUE CROSS OF IDAHO
48J190OTHERIDAHOBLUE CROSS OF IDAHO GROUP
5I08776MEDICARE UPIN
6807732400MEDICAIDIDAHO
7P00644210MEDICARE PINIDAHO
8860902000MEDICAIDIDAHO
96056580001MEDICARE NSCIDAHO
1011268771MEDICARE PINIDAHO
11000010152057OTHERREGENCE BLUE SHIELD
120203233OTHERWASHINGTONWA DEPARTMENT OF LABOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.