Individual provider Active NPI

John L Pennings, M.D.

  • Surgery Physician
  • Post Falls, ID
National Provider Identifier
1073569737
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M-6485 Issued in ID
Practice address
750 N Syringa St
Ste 205
Post Falls, ID 83854-5275
Phone
(208) 262-0945
Fax
(208) 415-0150
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X M-6485 ID Primary

Addresses

Primary practice location

750 N Syringa St
Ste 205
Post Falls, ID 83854-5275

Mailing address

750 N Syringa St
Ste 205
Post Falls, ID 83854-5275
Phone (208) 262-0945

Other identifiers 1

IdentifierTypeStateIssuer
020050503OtherIDRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpennings627436@direct.multicare.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040217000437 ID Practitioner - General Surgery 3375437643 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Minnesota Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians
North Idaho Day Surgery LLCGroup PAC ID 0840101218, 87 clinicians

Practice addresses (Care Compare)

1055 Riverside Ave
Orofino, ID 83544-9029
Phone (208) 476-5777

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

750 N Syringa St
Suite 205
Post Falls, ID 83854-5275
Phone (208) 262-0945

Hospital & facility affiliations

  • Northwest Specialty Hospital Hospital, Post Falls, ID, CCN 130066
  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion167
Colonoscopy38
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kootenai Health, Inc. CurrentSince Oct 9, 2020 Accepting new patients
Kootenai Health, Inc. Surgery CurrentSince Oct 9, 2020 Accepting new patients
North Idaho Day Surgery LLC CurrentSince Jul 19, 2016 Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Incyte Pathology, PLLC Current Accepting new patients

Locations

1607 Lincoln Way
Ste 100
Coeur D Alene, ID 83814
Phone (208) 664-6124

850 W Ironwood Dr
Ste 201
Coeur D Alene, ID 83814
Phone (208) 292-0946

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564

750 N Syringa St
Ste 205
Post Falls, ID 83854
Phone (208) 262-0945

750 N Syringa St
Ste 100
Post Falls, ID 83854
Phone (208) 262-2600

750 N Syringa St
Ste 103
Post Falls, ID 83854
Phone (208) 415-0151

1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300

Interoperability endpoints

  • Direct secure messaging: jpennings@nwsh.gwaydirect.com
  • Direct secure messaging: jpennings@sbnw.gwaydirect.com

Organizations & group practices 5

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 4

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1073569737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N SYRINGA ST",
            "address_2": "STE 205",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545275",
            "telephone_number": "208-262-0945",
            "fax_number": "208-415-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N SYRINGA ST",
            "address_2": "STE 205",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545275",
            "telephone_number": "208-262-0945",
            "fax_number": "208-415-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGS",
        "first_name": "JOHN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ID",
            "license": "M-6485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020050503",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpennings627436@direct.multicare.org",
            "affiliation": "N",
            "address_1": "2003 Kootenai Health Way",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838146051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

Verify at the official NPI Registry.