Jeffrey Warren Allen, MD
Individual provider Active NPI Hematology & Oncology Physician · Post Falls, ID
NPI 1104040104 · NPPES record last updated Apr 14, 2025
Key facts
- NPI
- 1104040104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- M12843 (ID)
- Practice address
- 1440 E Mullan Ave
Post Falls, ID 83854-9064 - Phone
- (208) 625-4900
- Fax
- (208) 625-4901
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 18
Medicare Care Compare profile
- Specialty
- Medical Oncology
- Education
- Albany Medical College of Union University, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kootenai Health Inc
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
520 N 3Rd Ave
Sandpoint, ID 83864-1507
Phone (208) 265-7111
Hospital & facility affiliations
- Kootenai Health
- Bonner General Hospital
- Boundary Community Hospital
- Norton Hospitals, Inc
- Shoshone Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.65 of 100
- Quality
- 89.26
- Promoting interoperability
- 69.9
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150521002015 | ID | Practitioner - Medical Oncology | 1658440011 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M12843 | ID | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kootenai Health, Inc. | Current |
Accepting new patients | |
| Kootenai Health, Inc. | Current |
Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Incyte Pathology, PLLC | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current |
Accepting new patients | |
| Kootenai Health, Inc. | Current |
Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients |
Locations
2710 Dolbeer St
Eureka, CA 95501
Phone (707) 267-2060
700 W Ironwood Dr
Ste 130
Coeur D Alene, ID 83814
Phone (208) 625-4700
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
1440 E Mullan Ave
Post Falls, ID 83854
Phone (208) 619-4100
1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564
520 N Third Ave
Sandpoint, ID 83864
Phone (208) 263-0649
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | M12843 | ID | Yes |
Addresses
Primary practice location
1440 E Mullan Ave
Post Falls, ID 83854-9064
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4000
Other practice location 1
700 W Ironwood Dr Ste 130
Coeur D Alene, ID 83814-4404
Phone (208) 625-4700
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kcallen@kootenaicliniccancerservices.oncoemrdirect.com | ||
| Direct Messaging Address | jallen609398@direct.multicare.org |
Other providers in Post Falls, ID
- Ahc Home Care LLC
- Bartimaeus Alan
- Holly Alexander
- Sai Pramod Krishna Alla
- Frank C Allen
- Jason Allred
- Alternative Community Enrichment Services, Inc
- Alternative Community Enrichment Services, Inc
- Alternative Community Enrichment Services, Inc
- Amaris Development Group
All providers in Post Falls, ID · Hematology & Oncology Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.