Individual provider Active NPI

Kert W Howard, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Pocatello, ID
National Provider Identifier
1245216647
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
P-82 Issued in ID
Practice address
1555 E Clark St
Pocatello, ID 83201-4133
Phone
(208) 233-4355
Fax
(208) 233-7198
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X P-82 ID Primary

Addresses

Primary practice location

1555 E Clark St
Pocatello, ID 83201-4133

Mailing address

1555 E Clark St
Pocatello, ID 83201-4133
Phone (208) 233-4355

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050207000825 ID Practitioner - Podiatry 5294786257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eagle Rock Medical Center LLCGroup PAC ID 9436546330, 2 clinicians

Practice addresses (Care Compare)

919 S Utah Ave
Idaho Falls, ID 83402-3322
Phone (208) 425-6020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P-82IDMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pocatello Podiatry Associates PA Foot & Ankle Surgery CurrentSince Jun 4, 1997 Accepting new patients
Eagle Rock Medical Center LLC Foot & Ankle Surgery CurrentSince Jun 7, 2022 Accepting new patients

Locations

3910 Washington Pkwy
Idaho Falls, ID 83404
Phone (208) 522-2996

919 S Utah Ave
Idaho Falls, ID 83402
Phone (208) 425-6020

1555 E Clark St
Pocatello, ID 83201
Phone (208) 233-4355

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1245216647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 E CLARK ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014133",
            "telephone_number": "208-233-4355",
            "fax_number": "208-233-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 E CLARK ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014133",
            "telephone_number": "208-233-4355",
            "fax_number": "208-233-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "KERT",
        "middle_name": "W",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ID",
            "license": "P-82",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.