Individual provider Active NPI

Shayne C Stokes, MD

  • Allergy & Immunology Physician
  • Twin Falls, ID
National Provider Identifier
1225007644
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
M-15682 Issued in ID
Practice address
1502 Locust St N Ste 600
Twin Falls, ID 83301-4164
Phone
(208) 734-6091
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 21289 NV
Allergy & Immunology Physician 207K00000X 0101234499 VA
Pediatrics Physician 208000000X 0101234499 VA
Allergy & Immunology Physician 207K00000X M-15682 ID Primary

Addresses

Primary practice location

1502 Locust St N Ste 600
Twin Falls, ID 83301-4164

Mailing address

1502 Locust St N Ste 600
Twin Falls, ID 83301-4164
Phone (208) 734-6091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210630001411 ID Practitioner - Allergy/Immunology 7810398658 Reassigns benefits to 1 organization
I20220224000557 NV Practitioner - Allergy/Immunology 7810398658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Asthma and Allergy of Idaho PLLCGroup PAC ID 7416943782, 6 clinicians

Practice addresses (Care Compare)

1250 Lamoille Hwy
Suite 624
Elko, NV 89801-8308
Phone (775) 753-3945

1502 Locust St N
Suite 600
Twin Falls, ID 83301-4164
Phone (208) 734-6091

Hospital & facility affiliations

  • St Luke'S Wood River Medical Center Hospital, Ketchum, ID, CCN 131323
  • Cassia Regional Hospital Hospital, Burley, ID, CCN 131326
  • St Lukes Magic Valley Medical Center Hospital, Twin Falls, ID, CCN 130002

Merit-based Incentive Payment System (MIPS)

Final score
88.42 of 100Reported as group
Quality
100
Improvement activities
40
Cost
61.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-15682IDMDAllergy & Immunology Physician
0101234499VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma & Allergy of Idaho CurrentSince Aug 1, 2021 Accepting new patients
Asthma & Allergy of Idaho PLLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

1263 Bennett Ave
Ste 3
Burley, ID 83318
Phone (208) 678-1049

714 W Appleway Ave
Ste 200
Coeur D Alene, ID 83814
Phone (208) 655-1443

408 S Main St
Hailey, ID 83333
Phone (208) 404-2262

619 S Washington St
Ste 201
Moscow, ID 83843
Phone (208) 882-1777

30544 Highway 200
Ste 305
Ponderay, ID 83852
Phone (208) 665-1552

393 E 2nd N
Rexburg, ID 83440
Phone (208) 356-5401

1502 Locust St N
Ste 600
Twin Falls, ID 83301
Phone (208) 734-6091

1250 Lamoille Hwy
Ste 624
Elko, NV 89801
Phone (775) 753-3945

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.

Hospital & facility affiliations 3

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1225007644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 LOCUST ST N STE 600",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014164",
            "telephone_number": "208-734-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 LOCUST ST N STE 600",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014164",
            "telephone_number": "208-734-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "SHAYNE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NV",
            "license": "21289",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0101234499",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101234499",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "ID",
            "license": "M-15682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.