Individual provider Active NPI

Craig James Panos, M. D.

  • Family Medicine Physician
  • Coeur D Alene, ID
National Provider Identifier
1104855188
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-7204 Issued in ID
Practice address
980 W Ironwood Dr Ste 206
Coeur D Alene, ID 83814-2668
Phone
(208) 512-4334
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M-7204 ID Primary

Addresses

Primary practice location

980 W Ironwood Dr Ste 206
Coeur D Alene, ID 83814-2668

Mailing address

980 W Ironwood Dr Ste 206
Coeur D Alene, ID 83814-2668

Other practice location 1

1701 Lincoln Way
Coeur D Alene, ID 83814-2537
Phone (208) 512-4334

Other practice location 2

700 W Ironwood Dr
Suite 272E
Coeur D Alene, ID 83814-2656
Phone (208) 512-4334

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address craig.panos.p79@direct.kootenai.nextgenshare.com

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
I20071121000518 ID Practitioner - Emergency MedicinePractitioner - Family Practice 9830136886 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

980 W Ironwood Dr
Suite 206
Coeur D Alene, ID 83814-2668
Phone (208) 215-2030

Hospital & facility affiliations

  • Shoshone Medical Center Hospital, Kellogg, ID, CCN 131314
  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
  • Bonner General Hospital Hospital, Sandpoint, ID, CCN 131328

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kootenai Health, Inc. CurrentSince Oct 15, 2012 Accepting new patients
Kootenai Health, Inc. Emergency Medicine Current Accepting new patients
Head Sport Em LLC CurrentSince Dec 1, 2023 Accepting new patients
Shoshone Medical Center Family Medicine CurrentSince Mar 20, 2010 Accepting new patients
Incyte Pathology, PLLC Current Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Kootenai Health, Inc. CurrentSince Oct 15, 2012 Accepting new patients
Shoshone Medical Center CurrentSince Mar 20, 2010 Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Teton Valley Health Care Inc Past Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Past Accepting new patients

Locations

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

700 W Ironwood Dr
Ste 272E
Coeur D Alene, ID 83814
Phone (208) 667-4557

1701 Lincoln Way
Coeur D Alene, ID 83814
Phone (208) 625-4950

2251 W Ironwood Center Dr
Coeur D Alene, ID 83814
Phone (208) 625-4680

700 W Ironwood Dr
Ste 120E
Coeur D Alene, ID 83814
Phone (208) 625-3640

700 W Ironwood Dr
Ste 120
Coeur D Alene, ID 83814
Phone (208) 625-3640

700 W Ironwood Dr
Ste 170E
Coeur D Alene, ID 83814
Phone (208) 667-9110

980 W Ironwood Dr
Ste 206
Coeur D Alene, ID 83814
Phone (208) 215-2030

25 Jacobs Gulch Rd
Kellogg, ID 83837
Phone (208) 784-1221

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

Interoperability endpoints

  • Direct secure messaging: craig.panos.p79@direct.kootenai.nextgenshare.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/9a0a9763-cc6e-4ca0-bdec-c16291c965b9/

Organizations & group practices 11

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 3

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1104855188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 W IRONWOOD DR STE 206",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 W IRONWOOD DR STE 206",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142668",
            "telephone_number": "208-512-4334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Lincoln Way",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142537",
            "country_code": "US",
            "telephone_number": "208-512-4334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W Ironwood Dr",
            "address_2": "Suite 272E",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142656",
            "country_code": "US",
            "telephone_number": "208-512-4334",
            "fax_number": "208-676-1272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANOS",
        "first_name": "CRAIG",
        "middle_name": "JAMES",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-7204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "craig.panos.p79@direct.kootenai.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1701 Lincoln Way",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838142537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.