Active NPI
Rocco P Cifrese, MD
- Family Medicine Physician
- Idaho Falls, ID
National Provider Identifier
1154406429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M2932
- Practice address
- 1995 E 17TH St
Idaho Falls, ID 83404 - Phone
- (208) 522-7666
- Fax
- (208) 524-2821
- NPI assigned
- Oct 26, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M2932 | ID | Primary |
Addresses
Primary practice location
1995 E 17TH St
Idaho Falls, ID 83404
Mailing address
1995 E 17TH St
Idaho Falls, ID 83404
Phone (208) 522-7666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M2932 | ID | MD | Family Medicine Physician |
| 2932 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Machen Family Medicine, PC | Family Medicine | Current | Accepting new patients |
| Community Care, PLLC | Family Medicine | Past | Accepting new patients |
| Northstar Healthcare LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- https://fhir4.healow.com/fhir/r4/IAGBCA
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1821115205
-
dba Shane G Machen, DO
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1013204445
-
- Family Medicine Physician
- Pocatello, ID
- NPI 1003088782
-
- Nurse Practitioner
- Idaho Falls, ID
- NPI 1598849051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154406429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1995 E 17TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "83404",
"telephone_number": "208-522-7666",
"fax_number": "208-524-2821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 E 17TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "83404",
"telephone_number": "208-522-7666",
"fax_number": "208-524-2821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIFRESE",
"first_name": "ROCCO",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M2932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
- Tiffany Christiansen, PA
- Lesli D. Christofferson, MSN, FNP-BC
- George Chudleigh, PT
- Allison Michelle Chuirazzi, OTR/L
- Cibrian Counseling & Wellness Center, LLC
- Cindy Goff, PLLC
- City of Idaho Falls (City of Idaho Falls Ambulance Service)
- Sarah Elizabeth Clancy, DO
- Camillia Clark, COUI-9541
- Charity Clark, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.