Active NPI
Karin Marie Lindholm, D.O.
- Neurology Physician
- Hailey, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- O-159
- Practice address
- 1450 Aviation Dr
Suite 203
Hailey, ID 83333-8785 - Phone
- (208) 727-8295
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | O-159 | ID | Primary |
Addresses
Primary practice location
1450 Aviation Dr
Suite 203
Hailey, ID 83333-8785
Mailing address
821 Buckskin Dr
Hailey, ID 83333-8752
Phone (208) 788-0908
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010000939 | Other | ID | REGENCE BLUE SHIELD ID |
| S2426 | Other | ID | BLUE CROSS ID |
| 002457400 | Medicaid | ID | |
| 353306900 | Other | ID | OWCP ID |
| 130025239 | Other | ID | RAILROAD MEDICARE ID |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Hospital Dr
Ketchum, ID 83340
100 Hospital Dr
Ketchum, ID 83340-9998
1450 Aviation Dr
Hailey, ID 83333-8785
191 5TH St W
Ketchum, ID 83340-9998
Phone (208) 725-2171
Hospital & facility affiliations
- St Luke'S Wood River Medical Center
- St Lukes Magic Valley Medical Center
- St Luke'S Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.05 of 100
- Quality
- 91.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 61.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic - Wood River LLC | Current | Accepting new patients | |
| Mary E River MD PA | Neurology | Past | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
1450 Aviation Dr
Ste 203
Hailey, ID 83333
Phone (208) 727-8295
21 E Maple St
Ste A
Hailey, ID 83333
Phone (208) 788-3200
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Ketchum, ID
- NPI 1972891604
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- Critical Access Hospital
- Ketchum, ID
- NPI 1508869470
-
- General Acute Care Hospital
- Twin Falls, ID
- NPI 1932154705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359504000000",
"number": "1083660583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 BUCKSKIN DR",
"city": "HAILEY",
"state": "ID",
"postal_code": "833338752",
"telephone_number": "208-788-0908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 AVIATION DR",
"address_2": "SUITE 203",
"city": "HAILEY",
"state": "ID",
"postal_code": "833338785",
"telephone_number": "208-727-8295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDHOLM",
"first_name": "KARIN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2013-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "ID",
"license": "O-159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD ID",
"identifier": "000010000939",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID",
"identifier": "S2426",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002457400",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP ID",
"identifier": "353306900",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE ID",
"identifier": "130025239",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hailey, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.