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

Dr. Ricky J Axtell, MD

Individual provider Family Medicine Physician · NPI 1548482771

Dr. Ricky J Axtell, MD is a Family Practice in Meridian, Idaho. Graduated from University of Washington School of Medicine in 2004, 22 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
22
Trained at
University of Washington School of Medicine
Licensed in
ID
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3277 E Louise Dr Ste 200
Meridian, ID 83642
Phone: (208) 468-5910
Fax: (208) 884-2979
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3301 N Sawgrass Way, Boise, ID 83704-4493 — (208) 375-0862

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-10997 (ID)

Record details

NPI number1548482771
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Meridian