Individual provider Active NPI

James William Pickett, D.O.

  • Family Medicine Physician
  • Malad City, ID
National Provider Identifier
1275735045
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-0838 Issued in ID
Practice address
220 Bannock St
Malad City, ID 83252-5068
Phone
(208) 766-2600
Fax
(208) 766-4258
NPI assigned
Jun 4, 2007
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5012 AZ
Family Medicine Physician 207Q00000X O-0838 ID Primary
Obesity Medicine (Family Medicine) Physician 207QB0002X O-0838 ID

Addresses

Primary practice location

220 Bannock St
Malad City, ID 83252-5068

Mailing address

220 Bannock St
Malad City, ID 83252-5068
Phone (208) 766-2600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehr-direct@oneidacountyclinic.hin.us Health Information Exchange (HIE)

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
I20150213001352 ID Practitioner - Family Practice 8426109240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Oneida County HospitalGroup PAC ID 3476459108, shared by 5 NPIs, 10 clinicians

Practice addresses (Care Compare)

150 N 200
Malad City, ID 83252-1239
Phone (208) 766-2231

220 Bannock St
Malad City, ID 83252-5068
Phone (208) 766-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O-0838IDMDObesity Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oneida County Hospital Current Accepting new patients
Oneida County Hospital CurrentSince Jan 26, 2015 Accepting new patients
Oneida County Hospital Current Accepting new patients
Oneida County Hospital CurrentSince Jan 26, 2015 Accepting new patients

Locations

150 N 200 W
Malad City, ID 83252
Phone (208) 766-2231

220 Bannock St
Malad City, ID 83252
Phone (208) 766-2231

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Nell J Redfield Memorial HospitalMalad City, ID, CCN 135062 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 26, 2015
Jan 26, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1275735045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BANNOCK ST",
            "city": "MALAD CITY",
            "state": "ID",
            "postal_code": "832525068",
            "telephone_number": "208-766-2600",
            "fax_number": "208-766-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BANNOCK ST",
            "city": "MALAD CITY",
            "state": "ID",
            "postal_code": "832525068",
            "telephone_number": "208-766-2600",
            "fax_number": "208-766-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "5012",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0838",
            "primary": true
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "ID",
            "license": "O-0838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehr-direct@oneidacountyclinic.hin.us",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "220 Bannock St",
            "city": "Malad City",
            "state": "ID",
            "country_code": "US",
            "postal_code": "832525068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Malad City, ID

Sources for this page

Verify at the official NPI Registry.