Organization Active NPI

Tripp Family Medicine, Inc.

  • Family Medicine Physician
  • Twin Falls, ID
National Provider Identifier
1043578883
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-0539 Issued in ID
Legal business name
TRIPP FAMILY MEDICINE, INC.
Practice address
1411 Fillmore St
Suite 600
Twin Falls, ID 83301-3343
Phone
(208) 933-4400
Fax
(208) 933-4401
NPI assigned
Apr 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Dr. Jonathan Paul Tripp, D.O.NPI 1558491936
Title
President
Phone
(208) 933-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X O-0539 ID Primary

Addresses

Primary practice location

1411 Fillmore St
Suite 600
Twin Falls, ID 83301-3343

Mailing address

1411 Fillmore St
Suite 600
Twin Falls, ID 83301-3343
Phone (208) 933-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120530000093 ID Part B Supplier - Clinic/Group Practice 2668635723 Receives reassigned benefits from 9 practitioners
Practice locations: Twin Falls, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2047648Tripp Family Medicine1411 Fillmore St #600, Twin Falls, ID 83301Provider-performed microscopySep 30, 2026

National Provider Directory

National Provider Directory

Locations

1415 Fillmore St
Ste 703A
Twin Falls, ID 83301

1411 Fillmore St
Ste 600
Twin Falls, ID 83301
Phone (208) 399-4400

1415 Fillmore St
Ste 702A
Twin Falls, ID 83301

1415 Fillmore St
Ste 703
Twin Falls, ID 83301
Phone (208) 933-4400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHHGBD

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1043578883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 FILLMORE ST",
            "address_2": "SUITE 600",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013343",
            "telephone_number": "208-933-4400",
            "fax_number": "208-933-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 FILLMORE ST",
            "address_2": "SUITE 600",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013343",
            "telephone_number": "208-933-4400",
            "fax_number": "208-933-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIPP FAMILY MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "TRIPP",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-933-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.