Active NPI
Farah Esther Vega, MD
- Hospitalist Physician
- Kellogg, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- M-14866
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
25 Jacobs Gulch Rd
Kellogg, ID 83837-2023
Phone (208) 784-1227
Hospital & facility affiliations
- Shoshone Medical Center
- Kootenai Health
- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-14866 | ID | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoshone Medical Center | Current | Accepting new patients | |
| Shoshone Medical Center | Current | Accepting new patients | |
| Utah Regional Hospitalists LLC | Hospitalist | Current | 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
- fvega611186@direct.multicare.org
- 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.
-
- Rural Health Clinic/Center
- Smelterville, ID
- NPI 1487272399
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.