Active NPI
Kenneth E Newhouse, MD
- Orthopaedic Surgery Physician
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- M6267
- Practice address
- 560 Memorial Dr
Pocatello, ID 83201-4073 - Phone
- (208) 234-1960
- Fax
- (208) 233-5033
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | M6267 | ID | Primary |
Addresses
Primary practice location
560 Memorial Dr
Pocatello, ID 83201-4073
Mailing address
560 Memorial Dr
Pocatello, ID 83201-4073
Phone (208) 234-1960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1128056 | Medicaid | ID |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Yale University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- BMH IncBingham Memorial Hospital
Practice addresses (Care Compare)
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6267 | ID | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMH, Inc. | Current | Accepting new patients | |
| BMH, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| BMH Inc | Current | Accepting new patients | |
| BMH, Inc. | Current | Accepting new patients | |
| BMH Inc. | Past | Accepting new patients |
Locations
315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990
98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763
560 Memorial Dr
Pocatello, ID 83201
Phone (208) 234-1960
1151 Hospital Way
#D100
Pocatello, ID 83201
Phone (208) 239-8010
1151 Hospital Way
Ste D100
Pocatello, ID 83201
Interoperability endpoints
- kennethnewhouse@bmh.medalliesdirect.net
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.
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
- Surgery Physician
- Blackfoot, ID
- NPI 1255539193
-
- Family Medicine Physician
- Pocatello, ID
- NPI 1295502995
-
- Orthopaedic Surgery Physician
- Blackfoot, ID
- NPI 1629275318
-
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1770785875
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271808000000",
"number": "1265425789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 MEMORIAL DR",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014073",
"telephone_number": "208-234-1960",
"fax_number": "208-233-5033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 MEMORIAL DR",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014073",
"telephone_number": "208-234-1960",
"fax_number": "208-233-5033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWHOUSE",
"first_name": "KENNETH",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2010-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "ID",
"license": "M6267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1128056",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.