NPIMap

Individual provider Active NPI

Jeffrey Warren Allen, MD

  • Hematology & Oncology Physician
  • Post Falls, ID
National Provider Identifier
1104040104
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
M12843 Issued in 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
Last updated
Apr 14, 2025By the provider in NPPES
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
Hematology & Oncology Physician 207RH0003X M12843 ID Primary

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 2

TypeEndpointUseAffiliation
Direct Messaging Address kcallen@kootenaicliniccancerservices.oncoemrdirect.com
Direct Messaging Address jallen609398@direct.multicare.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150521002015 ID Practitioner - Medical Oncology 1658440011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 1355792276, 394 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

520 N 3Rd Ave
Sandpoint, ID 83864-1507
Phone (208) 265-7111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M12843IDMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kootenai Health, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Kootenai Health, Inc. Current Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Incyte Pathology, LLC Current Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Kootenai Health, Inc. CurrentSince Jul 1, 2015 Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Humboldt Medical Specialists, Inc Past Accepting new patients

Locations

2710 Dolbeer St
Eureka, CA 95501
Phone (707) 267-2060

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

700 W Ironwood Dr
Ste 130
Coeur D Alene, ID 83814
Phone (208) 625-4700

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

1440 E Mullan Ave
Post Falls, ID 83854
Phone (208) 619-4100

520 N Third Ave
Sandpoint, ID 83864
Phone (208) 263-0649

Interoperability endpoints

  • Direct secure messaging: jallen609398@direct.multicare.org
  • Direct secure messaging: kcallen@kootenaicliniccancerservices.oncoemrdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1104040104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 KOOTENAI HEALTH WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146051",
            "telephone_number": "208-625-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 E MULLAN AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549064",
            "telephone_number": "208-625-4900",
            "fax_number": "208-625-4901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 W Ironwood Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838144404",
            "country_code": "US",
            "telephone_number": "208-625-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JEFFREY",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "ID",
            "license": "M12843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcallen@kootenaicliniccancerservices.oncoemrdirect.com",
            "affiliation": "N",
            "address_1": "700 W Ironwood Dr Ste 130",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838144404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jallen609398@direct.multicare.org",
            "affiliation": "N",
            "address_1": "700 W Ironwood Dr Ste 130",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838144404",
            "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.