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

Nathan Lewis Grimm, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1417376344

Nathan Lewis Grimm, MD is an Orthopedic Surgery in Boise, Idaho. Graduated from University of Utah School of Medicine in 2014, 12 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 Connecticut and Idaho.

Years since qualifying
12
Trained at
University of Utah School of Medicine
Licensed in
CT, ID
In the registry since
2014
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

1188 W University Dr
Boise, ID 83706-3009
Phone: (208) 336-8250
Fax: (208) 345-9514
Show map & directions

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

Additional practice locations (1)

  • 600 N Robbins Rd Ste 100, Boise, ID 83702-4564 — (208) 706-2663

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 62489 (CT)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence M-15091 (ID)

Record details

NPI number1417376344
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 8, 2014
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023
Mailing address1188 W University Dr, Boise, ID 83706-3009

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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