Individual provider Active NPI

Zachary X Morairty, MD

  • Psychiatry Physician
  • Twin Falls, ID
National Provider Identifier
1154526549
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M-11664 Issued in ID
Practice address
118 9TH Ave N
Twin Falls, ID 83301-6352
Phone
(208) 357-7800
NPI assigned
Jun 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X M11664 ID
Psychiatry Physician 2084P0800X M-11664 ID Primary

Addresses

Primary practice location

118 9TH Ave N
Twin Falls, ID 83301-6352

Mailing address

118 9TH Ave N
Twin Falls, ID 83301-6352
Phone (208) 537-7800

Other identifiers 1

IdentifierTypeStateIssuer
1154526549MedicaidID

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
I20120814000131 ID Practitioner - Psychiatry 2264606847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of California, Geffen School of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
ZXM Psychiatry PCGroup PAC ID 4385061852, 3 clinicians

Practice addresses (Care Compare)

118 9TH Ave N
Twin Falls, ID 83301-6352
Phone (208) 537-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-11664IDMDPsychiatry Physician
M11664IDMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ZXM Psychiatry PC CurrentSince Aug 1, 2020 Accepting new patients
St Luke'S Magic Valley Regional Medical Center LTD Past Accepting new patients

Locations

148 Blue Lakes Blvd N
Twin Falls, ID 83301
Phone (208) 220-4803

118 9th Ave N
Twin Falls, ID 83301
Phone (208) 357-7800

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1154526549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 9TH AVE N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016352",
            "telephone_number": "208-537-7800",
            "fax_number": "208-856-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 9TH AVE N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016352",
            "telephone_number": "208-357-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAIRTY",
        "first_name": "ZACHARY",
        "middle_name": "X",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "ID",
            "license": "M11664",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "M-11664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154526549",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.