NPIMap

Individual provider Active NPI

John W. Ho, MD

  • Vascular & Interventional Radiology Physician
  • Lewiston, ID
National Provider Identifier
1023096955
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
M-11550 Issued in ID
Practice address
415 6TH St
Lewiston, ID 83501-2431
Phone
(208) 750-7445
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X MD00042236 WA
Vascular & Interventional Radiology Physician 2085R0204X M-11550 ID Primary

Addresses

Primary practice location

415 6TH St
Lewiston, ID 83501-2431

Mailing address

415 6TH St
Lewiston, ID 83501-2431
Phone (208) 750-7445

Other practice location 1

500 17th Ave S
Swedish Providence Medical Center
Seattle, WA 98124-1008
Phone (206) 320-3700

Other identifiers 4

IdentifierTypeStateIssuer
1023096955MedicaidID
178136OtherWAL&I PROVIDER NUMBER
8372898MedicaidWA
175410OtherWAL&I PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061025000599 CO Practitioner - Interventional RadiologyPractitioner - Internal Medicine 9830002708 Reassigns benefits to 1 organization
I20120716000498 ID Practitioner - Interventional Radiology 9830002708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
University of Connecticut School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Joseph Hospital LLCGroup PAC ID 8325325806, 91 clinicians

Practice addresses (Care Compare)

415 6TH St
Lewiston, ID 83501-2431
Phone (208) 750-7445

Hospital & facility affiliations

  • St Joseph Regional Medical Center Hospital, Lewiston, ID, CCN 130003
  • Tri-State Memorial Hospital Hospital, Clarkston, WA, CCN 501332
  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
  • Gritman Medical Center Hospital, Moscow, ID, CCN 131327
  • Syringa General Hospital Hospital, Grangeville, ID, CCN 131315

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal56
Leg revascularization (restoring blood flow)93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians Incorporated CurrentSince Oct 19, 2015 Accepting new patients
University Physicians, Incorporated CurrentSince Oct 19, 2015 Accepting new patients
Sjrmc Interventional Radiology Services LLC Vascular & Interventional Radiology CurrentSince Dec 1, 2013 Accepting new patients
St Joseph Hospital LLC CurrentSince May 1, 2017 Accepting new patients
Evergreen Radia LLC Past Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Past Accepting new patients
Radia Inc P S Past Accepting new patients
University Radiology Associates, LLP Vascular & Interventional Radiology Past Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

Dept 1061
Denver, CO 80256

821 21st Ave
Lewiston, ID 83501
Phone (208) 799-3422

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

307 Saint Johns Way
Ste 1
Lewiston, ID 83501
Phone (208) 743-3998

1130 Ten Rod Rd
Ste D201
North Kingstown, RI 02852
Phone (401) 295-3132

1130 Rod Rd
#D201
North Kingstown, RI 02852

Interoperability endpoints

  • Direct secure messaging: john.ho.1@16883.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1023096955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 6TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012431",
            "telephone_number": "208-750-7445",
            "fax_number": "208-750-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 6TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012431",
            "telephone_number": "208-750-7445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 17th Ave S",
            "address_2": "Swedish Providence Medical Center",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981241008",
            "country_code": "US",
            "telephone_number": "206-320-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "JOHN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WA",
            "license": "MD00042236",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "ID",
            "license": "M-11550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023096955",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "178136",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8372898",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "175410",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.