Active NPI
Hadi Bhurgri, MD
- Gastroenterology Physician
- Ketchum, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 9371944
- Practice address
- 100 Hospital Dr
Ketchum, ID 83340 - Phone
- (208) 727-8888
- Fax
- (208) 727-8889
- NPI assigned
- May 26, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 9371944 | ID | Primary |
| Gastroenterology Physician | 207RG0100X | 2016040197 | MO |
Addresses
Primary practice location
100 Hospital Dr
Ketchum, ID 83340
Mailing address
1050 W 10TH St
Rolla, MO 65401-2905
Phone (573) 458-3581
Other practice location 1
1050 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-3580
Other practice location 2
150 Bergen St
Uh-I-248
Newark, NJ 07103-2496
Phone (973) 972-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000015401 | Other | MO | MEDICARE |
| 507013605 | Medicaid | MO |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250129001380 | ID | Practitioner - Gastroenterology | 3173894052 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Canyon Medical Center Inc
Practice addresses (Care Compare)
267 N Canyon Dr
Gooding, ID 83330-5500
Phone (208) 934-4433
Hospital & facility affiliations
- North Canyon Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 19 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9371944 | ID | MD | Gastroenterology Physician |
| 2016040197 | MO | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Canyon Medical Center Inc. | Current | Accepting new patients | |
| St Lukes Clinic - Wood River LLC | Current | Accepting new patients | |
| North Canyon Medical Center, Inc. | Current | Accepting new patients | |
| Inland Cardiology Associates, P.S. | Past | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
718 Highway 30
Buhl, ID 83316
Phone (208) 543-4785
267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433
491 Heritage Dr
Jerome, ID 83338
Phone (208) 644-7500
Organizations & group practices 9
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.
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- Rural Health Clinic/Center
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- NPI 1376160457
-
- Medicare Defined Swing Bed Hospital Unit
- Gooding, ID
- NPI 1275703241
-
- Rural Health Clinic/Center
- Gooding, ID
- NPI 1518377019
-
- Rural Health Clinic/Center
- Buhl, ID
- NPI 1568950566
-
- Internal Medicine Physician
- Ketchum, ID
- NPI 1972891604
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- Spokane, WA
- NPI 1679522106
Hospital & facility affiliations 1
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": "1337990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1124388947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 W 10TH ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012905",
"telephone_number": "573-458-3581",
"fax_number": "573-202-2408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL DR",
"city": "KETCHUM",
"state": "ID",
"postal_code": "83340",
"telephone_number": "208-727-8888",
"fax_number": "208-727-8889"
}
],
"practiceLocations": [
{
"address_1": "1050 W 10th St",
"address_purpose": "LOCATION",
"city": "Rolla",
"state": "MO",
"postal_code": "654012905",
"country_code": "US",
"telephone_number": "573-458-3580",
"fax_number": "573-202-2408",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 Bergen St",
"address_2": "UH-I-248",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071032496",
"country_code": "US",
"telephone_number": "973-972-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHURGRI",
"first_name": "HADI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-26",
"last_updated": "2025-03-26",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "ID",
"license": "9371944",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MO",
"license": "2016040197",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "000015401",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "507013605",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ketchum, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.