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

Dr. Kenneth John Gramyk, MD

Individual provider Emergency Medicine Physician · NPI 1598778136

Dr. Kenneth John Gramyk, MD is an Emergency Medicine in Boise, Idaho. Graduated from Loma Linda University School of Medicine in 1986, 40 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
40
Trained at
Loma Linda University School of Medicine
Licensed in
ID
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6051 W Emerald St
Boise, ID 83704-8969
Phone: (208) 302-5150
Fax: (208) 302-5155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 520 N 3rd Ave, Sandpoint, ID 83864-1507 — (208) 265-1020
  • 5430 Maccorkle Ave Se, Charleston, WV 25304-2224 — (304) 925-3627

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence M6718 (ID)

Record details

NPI number1598778136
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 14, 2006
Last updated in NPPESApril 4, 2025
Certification dateApril 4, 2025
Mailing addressPo Box 190930, Boise, ID 83719-0930

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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