Individual provider Active NPI

Troy Jay Bushman, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Idaho Falls, ID
National Provider Identifier
1194068437
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
O-1521 Issued in ID
Practice address
3200 Channing Way Ste 306
Idaho Falls, ID 83404-7546
Phone
(208) 535-4400
Fax
(208) 535-4404
NPI assigned
Apr 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X O-1521 ID Primary
Physical Medicine & Rehabilitation Physician 208100000X 007103 AZ

Addresses

Primary practice location

3200 Channing Way Ste 306
Idaho Falls, ID 83404-7546

Mailing address

PO Box 741716
Atlanta, GA 30374-1716

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
I20210830002826 ID Practitioner - Physical Medicine and Rehabilitation 5496977316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eirmc Hospitalist Services LLCGroup PAC ID 1355517970, 2 clinicians

Practice addresses (Care Compare)

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone (208) 227-2570

3200 Channing Way
Suite 303
Idaho Falls, ID 83404-7546
Phone (208) 535-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.06 of 100Reported as individual
Quality
76.12
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O-1521IDMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eirmc Hospitalist Services LLC CurrentSince Aug 2, 2021 Accepting new patients
Idaho Physician Services Inc. CurrentSince Jan 23, 2023 Accepting new patients
Arizona Health Services PLLC PastSince May 24, 2020 Accepting new patients
Jonathan S. Hott, M.D., P.L.C. PastSince Jul 1, 2024 Accepting new patients

Locations

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

3200 Channing Way
Ste 306
Idaho Falls, ID 83404
Phone (208) 535-4400

3200 Channing Way
Ste 303
Idaho Falls, ID 83404
Phone (208) 535-4400

2302 E Terry St
Pocatello, ID 83201
Phone (208) 235-5910

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: troy.bushman@hca3.eclinicaldirectplus.com

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 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": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1194068437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741716",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CHANNING WAY STE 306",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047546",
            "telephone_number": "208-535-4400",
            "fax_number": "208-535-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHMAN",
        "first_name": "TROY",
        "middle_name": "JAY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ID",
            "license": "O-1521",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "007103",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.