Individual provider Active NPI

Peter Zonakis, M.D.

  • Otolaryngology Physician
  • Twin Falls, ID
National Provider Identifier
1083606834
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4971546 Issued in ID
Practice address
625 Pole Line Rd W Ste 2B
Twin Falls, ID 83301-4270
Phone
(208) 814-7350
Fax
(208) 732-8508
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 52045 CO
Otolaryngology Physician 207Y00000X 4971546 ID Primary

Addresses

Primary practice location

625 Pole Line Rd W Ste 2B
Twin Falls, ID 83301-4270

Mailing address

501 Airport Rd
Rifle, CO 81650-8510
Phone (970) 625-1100

Other practice location 1

2680 S Avenue B
Yuma, AZ 85364-6901
Phone (928) 336-1476

Other practice location 2

501 Airport Rd
Rifle, CO 81650-8510
Phone (970) 625-1100

Other identifiers 1

IdentifierTypeStateIssuer
96181044MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pzonakis@qhndirect.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060601000290 AZ Practitioner - Allergy/ImmunologyPractitioner - Otolaryngology 0042291924 Reassigns benefits to 1 organization
I20220810000615 NE Practitioner - Otolaryngology 0042291924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Otolaryngology
Education
Indiana University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

2680 S Ave B
Yuma, AZ 85364-6901
Phone (928) 336-1476

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.07 of 100Reported as group
Quality
62.54
Promoting interoperability
98
Improvement activities
40
Cost
72.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52045COMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Clinic LLC CurrentSince Jun 15, 2025 Accepting new patients
Regional West Physicians Clinic CurrentSince Aug 8, 2022 Accepting new patients
Yuma Regional Medical Center CurrentSince Jan 6, 2025 Accepting new patients
Yuma Regional Medical Center CurrentSince Jan 6, 2025 Accepting new patients
Payson Healthcare Management Inc PastSince Oct 1, 1999 Accepting new patients
Allergy, Ears, Nose and Throat of Payson Otolaryngology PastSince May 26, 2004 Accepting new patients
Heritage Ear , Nose & Throat, Inc. Otolaryngology PastSince Jul 1, 1996 Accepting new patients
St Luke'S Magic Valley Regional Medical Center LTD PastSince Apr 27, 2025 Accepting new patients

Locations

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

2851 S Avenue B
Bldg 25
Yuma, AZ 85364
Phone (928) 336-7020

2680 S Avenue B
Yuma, AZ 85364
Phone (928) 336-1476

625 Pole Line Rd W
Ste 2B
Twin Falls, ID 83301
Phone (208) 814-5300

746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230

2 W 42nd St
Ste 1100
Scottsbluff, NE 69361
Phone (308) 635-0600

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355

Interoperability endpoints

  • Direct secure messaging: peterzonakis@mcch.medalliesdirect.net

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 2

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1083606834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 AIRPORT RD",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816508510",
            "telephone_number": "970-625-1100",
            "fax_number": "970-625-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 POLE LINE RD W STE 2B",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014270",
            "telephone_number": "208-814-7350",
            "fax_number": "208-732-8508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2680 S Avenue B",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853646901",
            "country_code": "US",
            "telephone_number": "928-336-1476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Rifle",
            "state": "CO",
            "postal_code": "816508510",
            "country_code": "US",
            "telephone_number": "970-625-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZONAKIS",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "52045",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ID",
            "license": "4971546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96181044",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pzonakis@qhndirect.org",
            "affiliation": "N",
            "endpointDescription": "Peter M Zonakis Grand River Hospital DIRECT Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "501 Airport Rd",
            "city": "Rifle",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816508510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.