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

Dr. Mario A Campos, MD

Individual provider Psychiatry Physician · NPI 1508217928

Dr. Mario A Campos, MD is a Psychiatry in Boise, Idaho. Qualified in 2016, 10 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Idaho and New Mexico.

Years since qualifying
10
Licensed in
ID, NM
In the registry since
2016
Specialties on file
3
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

1109 W Myrtle St Ste 200
Boise, ID 83702-6975
Phone: (208) 706-6375
Fax: (208) 706-6395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 9071762 (ID)
Psychiatry Physician Taxonomy 2084P0800X · Licence RS2016-0466 (NM)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD2020-0322 (NM)

Record details

NPI number1508217928
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2016
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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