Individual provider Active NPI

Brian Vause, DO

  • Family Medicine Physician
  • American Falls, ID
National Provider Identifier
1215598602
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0-1541 Issued in ID
Practice address
510 Roosevelt St
American Falls, ID 83211-1362
Phone
(208) 226-3200
Fax
(208) 226-7441
NPI assigned
Jun 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0-1541 ID Primary

Addresses

Primary practice location

510 Roosevelt St
American Falls, ID 83211-1362

Mailing address

510 Roosevelt St
American Falls, ID 83211-1362
Phone (208) 226-3200

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
I20230918000661 ID Practitioner - Family Practice 2668894189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Power County Hospital DistrictGroup PAC ID 4587632930, shared by 4 NPIs, 7 clinicians

Practice addresses (Care Compare)

510 Roosevelt St
American Falls, ID 83211-1362
Phone (208) 226-3200

Hospital & facility affiliations

  • Symbii Home Health Home health agency, Chubbuck, ID, CCN 137110
  • Power County Hospital District Hospital, American Falls, ID, CCN 131304
  • Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028
  • Power County Hospital District Nursing home, CCN 13Z304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0-1541IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Power County Hospital District CurrentSince Jun 1, 2024 Accepting new patients
Power County Hospital District Current Accepting new patients
Power County Hospital District CurrentSince Jun 1, 2024 Accepting new patients
Power County Hospital District Past Accepting new patients
Power County Hospital District Past Accepting new patients

Locations

502 Tyhee Ave
American Falls, ID 83211
Phone (208) 226-3200

510 Roosevelt St
American Fls, ID 83211
Phone (208) 226-2327

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/powerco-3e8d4efb

Organizations & group practices 5

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 5

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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1215598602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 ROOSEVELT ST",
            "city": "AMERICAN FALLS",
            "state": "ID",
            "postal_code": "832111362",
            "telephone_number": "208-226-3200",
            "fax_number": "208-226-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 ROOSEVELT ST",
            "city": "AMERICAN FALLS",
            "state": "ID",
            "postal_code": "832111362",
            "telephone_number": "208-226-3200",
            "fax_number": "208-226-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUSE",
        "first_name": "BRIAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "0-1541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Falls, ID

Sources for this page

Verify at the official NPI Registry.