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

Heiko Weert De Riese, MD

Individual provider Psychiatry Physician · NPI 1831621333

Heiko Weert De Riese, MD is a Psychiatry in Boise, Idaho. Graduated from Texas Tech University Health Science Center School of Medicine in 2017, 9 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Utah.

Years since qualifying
9
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
ID, UT
In the registry since
2017
Specialties on file
2
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

403 S 11th St Ste 210
Boise, ID 83702-6968
Phone: (208) 381-6005
Fax: (208) 381-6006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 703 S Americana Blvd Ste 150, Boise, ID 83702-4976 — (208) 706-6375
  • 1500 Red River St, Austin, TX 78701-1918 — (512) 324-7000
  • 501 Chipeta Way, Salt Lake City, UT 84108 — (801) 581-4096

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence M-16773 (ID)
Psychiatry Physician Taxonomy 2084P0800X · Licence 10964340-1205 (UT)

Record details

NPI number1831621333
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 3, 2017
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

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