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

Theodore Steven Roosevelt, MD

Individual provider Internal Medicine Physician · NPI 1699754697

Theodore Steven Roosevelt, MD is an Endocrinology in Boise, Idaho. Graduated from University of Utah School of Medicine in 1974, 52 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
52
Trained at
University of Utah School of Medicine
Licensed in
ID
In the registry since
2006
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

13909 W Wainwright Dr
Boise, ID 83713-1969
Phone: (208) 389-2213
Fax: (208) 389-4659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence M6142 (ID)
Internal Medicine Physician Taxonomy 207R00000X · Licence M6142 (ID)

Record details

NPI number1699754697
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 10, 2006
Last updated in NPPESMay 17, 2018
Mailing address13909 W Wainwright Dr, Boise, ID 83713-1969

Medicare enrollment

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

Medicare specialtyENDOCRINOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1974 (52 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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