NPIMap

Individual provider Active NPI

Joel Hancock, M.D.

  • Urology Physician
  • Twin Falls, ID
National Provider Identifier
1235584533
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
M-15799 Issued in ID
Practice address
2114 Village Park Ave
Twin Falls, ID 83301-4172
Phone
(208) 733-3404
Fax
(866) 939-1381
NPI assigned
Apr 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 1235584533 TN
Student in an Organized Health Care Education/Training Program 390200000X
Urology Physician 208800000X M-15799 ID Primary

Addresses

Primary practice location

2114 Village Park Ave
Twin Falls, ID 83301-4172

Mailing address

3278 Meadow Ridge LN
Twin Falls, ID 83301-8178
Phone (801) 648-5852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712004066 ID Practitioner - Urology 6204238397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Utah School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Magic Valley Urology PLLCGroup PAC ID 0446664247, 3 clinicians

Practice addresses (Care Compare)

2114 Village Park Ave
Suite 200
Twin Falls, ID 83301-4172
Phone (208) 733-3404

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1235584533TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magic Valley Urology PLLC Single Specialty CurrentSince Aug 1, 2021 Accepting new patients
Pocatello Health Services, LLC Single Specialty CurrentSince Oct 1, 2021 Accepting new patients
Paramount Surgical Services LLC CurrentSince Jan 3, 2026 Accepting new patients
Pocatello Health Services, LLC Single Specialty Current Accepting new patients
Pocatello Health Services, LLC Single Specialty CurrentSince Oct 1, 2021 Accepting new patients

Locations

777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640

2095 Dawson Dr
Twin Falls, ID 83301
Phone (208) 733-3404

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIADCD
  • Direct secure messaging: jhancock468072@ahs.direct-ci.com

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 6

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": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1235584533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3278 MEADOW RIDGE LN",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018178",
            "telephone_number": "801-648-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 VILLAGE PARK AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014172",
            "telephone_number": "208-733-3404",
            "fax_number": "866-939-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "JOEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-25",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TN",
            "license": "1235584533",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "ID",
            "license": "M-15799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.