Individual provider Active NPI

Farah Esther Vega, MD

  • Hospitalist Physician
  • Kellogg, ID
National Provider Identifier
1114389665
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
M-14866 Issued in ID
Practice address
25 Jacobs Gulch Rd
Kellogg, ID 83837-2023
Phone
(208) 784-1221
Fax
(208) 784-0961
NPI assigned
Mar 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X M-14866 ID Primary

Addresses

Primary practice location

25 Jacobs Gulch Rd
Kellogg, ID 83837-2023

Mailing address

25 Jacobs Gulch Rd
Kellogg, ID 83837-2023
Phone (208) 784-1221

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fvega611186@direct.multicare.org

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190718003181 ID Practitioner - Hospitalist 5294025789 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
University of Utah School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoshone Medical CenterGroup PAC ID 6103739107, 15 clinicians

Practice addresses (Care Compare)

25 Jacobs Gulch Rd
Kellogg, ID 83837-2023
Phone (208) 784-1227

Hospital & facility affiliations

  • Shoshone Medical Center Hospital, Kellogg, ID, CCN 131314
  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
  • Shoshone Medical Center Nursing home, CCN 13Z314

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
M-14866IDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shoshone Medical Center CurrentSince Dec 1, 2024 Accepting new patients
Shoshone Medical Center CurrentSince Dec 1, 2024 Accepting new patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Jun 26, 2019 Accepting new patients

Locations

3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100

840 E Elva St
Idaho Falls, ID 83401
Phone (208) 523-4795

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

Interoperability endpoints

  • Direct secure messaging: fvega611186@direct.multicare.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/9a0a9763-cc6e-4ca0-bdec-c16291c965b9/

Organizations & group practices 3

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1114389665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 JACOBS GULCH RD",
            "city": "KELLOGG",
            "state": "ID",
            "postal_code": "838372023",
            "telephone_number": "208-784-1221",
            "fax_number": "208-784-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 JACOBS GULCH RD",
            "city": "KELLOGG",
            "state": "ID",
            "postal_code": "838372023",
            "telephone_number": "208-784-1221",
            "fax_number": "208-784-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "FARAH",
        "middle_name": "ESTHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ID",
            "license": "M-14866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fvega611186@direct.multicare.org",
            "affiliation": "N",
            "address_1": "2003 Kootenai Health Way",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838146051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kellogg, ID

Sources for this page

Verify at the official NPI Registry.